Nova Vision Care, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NOVA VISION CARE, LLC

Doing business as

DMV Vision Care, LLC

Practice address

444 W Broad St Ste N
Falls Church, VA 22046-3362

Phone

(703) 241-0778

NPI assigned

Oct 13, 2021

Organization subpart

Yes

Parent organization

DMV VISION CARE, LLCAs reported in NPPES

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

Authorized official

Name

Shahab Motamedi

Title

Physician/Owner

Phone

(703) 241-0778

Specialties & licenses 2

Addresses

Other names 1

• DMV Vision Care, LLC Doing business as

Part of

DMV Vision Care LLC

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1811650146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 SUGAR LN",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221816061",
            "telephone_number": "703-241-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W BROAD ST STE N",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463362",
            "telephone_number": "703-241-0778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3134 Crain Hwy",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206034846",
            "country_code": "US",
            "telephone_number": "301-374-9615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVA VISION CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DMV VISION CARE, LLC",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "MOTAMEDI",
        "authorized_official_first_name": "SHAHAB",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "703-241-0778"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMV Vision Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.