Organization Active NPI

New Era Eyecare LLC

  • Point of Service
  • Clifton, VA
National Provider Identifier
1801108576
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
0618000670 Issued in VA
Legal business name
NEW ERA EYECARE LLC
Practice address
5718 Union Mill Rd
Clifton, VA 20124-1088
Phone
(703) 830-3977
NPI assigned
Jul 9, 2010
Last updated
Oct 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Edwin Ross Adair III, O.D.NPI 1891905253
Title
President
Phone
(703) 830-3977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 0618000670 VA Primary

Addresses

Primary practice location

5718 Union Mill Rd
Clifton, VA 20124-1088

Mailing address

5718 Union Mill Rd
Clifton, VA 20124-1088
Phone (703) 830-3977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100727000846 DC Part B Supplier - Clinic/Group Practice 3577696657 Receives reassigned benefits from 14 practitioners
Practice locations: Alexandria, VA; Springfield, VA; Clifton, VA; Arlington, VA
O20150213001739 VA Part B Supplier - Clinic/Group Practice 3577696657 Receives reassigned benefits from 2 practitioners
Practice locations: Sterling, VA

National Provider Directory

National Provider Directory
Tax ID family
New Era Eyecare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4660 Kenmore Ave
Ste 101
Alexandria, VA 22304
Phone (703) 751-2800

3105 10th St N
Arlington, VA 22201
Phone (703) 243-2500

4001 9th St N
Ste 110
Arlington, VA 22203
Phone (703) 527-7000

5718 Union Mill Rd
Clifton, VA 20124
Phone (703) 830-3977

7241 Commerce St
Springfield, VA 22150
Phone (703) 866-9364

20789 Great Falls Plz
Ste 100
Sterling, VA 20165
Phone (571) 375-7950

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1801108576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5718 UNION MILL RD",
            "city": "CLIFTON",
            "state": "VA",
            "postal_code": "201241088",
            "telephone_number": "703-830-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5718 UNION MILL RD",
            "city": "CLIFTON",
            "state": "VA",
            "postal_code": "201241088",
            "telephone_number": "703-830-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ERA EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "ADAIR",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-830-3977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "VA",
            "license": "0618000670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.