Dr. Surmaty and Associates the Vision Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002282 Issued in VA

Legal business name

DR. SURMATY AND ASSOCIATES THE VISION CENTER LLC

Practice address

400 Spotsylvania Mall
Fredericksburg, VA 22407-1123

Phone

(540) 785-2763

NPI assigned

Oct 29, 2013

Organization subpart

No

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

Authorized official

Name

Aiatulah Surmaty, O.D.NPI 1578999314

Title

Optometrist

Phone

(571) 340-5523

Specialties & licenses 1

Addresses

Other names 1

• Dr. Surmaty and Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

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.

• Aiatulah Surmaty, O.D.

  • Optometrist
  • Springfield, VA
  • NPI 1578999314
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1851729974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 WHIPPANY WAY",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153427",
            "telephone_number": "571-340-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SPOTSYLVANIA MALL",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224071123",
            "telephone_number": "540-785-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SURMATY AND ASSOCIATES THE VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "SURMATY",
        "authorized_official_first_name": "AIATULAH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "571-340-5523",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Surmaty and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.