Eye Smile Optometry PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE SMILE OPTOMETRY PLLC

Practice address

4231 Columbia Pike
Suite 102
Arlington, VA 22204-3017

Phone

(571) 441-0041

Fax

(571) 441-0045

NPI assigned

Aug 28, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Keith James, ODNPI 1235430992

Title

Optometrist

Phone

(585) 857-0891

Specialties & licenses 1

Addresses

Other names 1

• Eye Smile Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith James, OD

  • Optometrist
  • Springfield, VA
  • NPI 1235430992

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1831747336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 COLUMBIA PIKE STE 102",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041876",
            "telephone_number": "571-441-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4231 COLUMBIA PIKE",
            "address_2": "SUITE 102",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222043017",
            "telephone_number": "571-441-0041",
            "fax_number": "571-441-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SMILE OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "585-857-0891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Smile Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Smile Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Arlington, VA
• Providers in Arlington, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.