Virginia Adult and Pediatric Ophthalmology, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101243232 Issued in VA

Legal business name

VIRGINIA ADULT AND PEDIATRIC OPHTHALMOLOGY, PC

Practice address

5900 Fort Dr
Suite 301
Centreville, VA 20121-2425

Phone

(571) 210-5535

Fax

(703) 376-8865

NPI assigned

Mar 6, 2013

Organization subpart

No

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

Authorized official

Name

Dr. John Chong, MDNPI 1326219429

Title

President

Phone

(571) 210-5535

Specialties & licenses 1

Addresses

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.

• John Yohan Chong, M.D.

  • Ophthalmology Physician
  • Centreville, VA
  • NPI 1326219429

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1861733545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 FORT DR",
            "address_2": "SUITE 301",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212425",
            "telephone_number": "571-210-5535",
            "fax_number": "703-376-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 FORT DR",
            "address_2": "SUITE 301",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212425",
            "telephone_number": "571-210-5535",
            "fax_number": "703-376-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA ADULT AND PEDIATRIC OPHTHALMOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-210-5535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101243232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Centreville, VA
• Providers in Centreville, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.