Organization Active NPI

Warrenton Eye Center LLC

  • Optometrist
  • Warrenton, VA
National Provider Identifier
1871846188
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WARRENTON EYE CENTER LLC
Practice address
700 James Madison Hwy
Warrenton, VA 20186-3828
Phone
(904) 502-6075
Fax
(904) 207-7933
NPI assigned
Oct 24, 2012
Last updated
Oct 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Dr. Anup Panjwani, O.D.NPI 1497880512
Title
Partner
Phone
(904) 502-6075

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

700 James Madison Hwy
Warrenton, VA 20186-3828

Mailing address

3838 Watkins Mill Dr
Alexandria, VA 22304-6448
Phone (904) 502-6075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130110000330 VA Part B Supplier - Clinic/Group Practice 0547413163 Receives reassigned benefits from 3 practitioners
Practice locations: Sterling, VA; Warrenton, VA

National Provider Directory

National Provider Directory

Locations

700 James Madison Hwy
Warrenton, VA 20186
Phone (540) 216-0816

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1871846188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 WATKINS MILL DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223046448",
            "telephone_number": "904-502-6075",
            "fax_number": "904-207-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 JAMES MADISON HWY",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863828",
            "telephone_number": "904-502-6075",
            "fax_number": "904-207-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRENTON EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "PANJWANI",
        "authorized_official_first_name": "ANUP",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "904-502-6075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.