Iris Eyecare PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

IRIS EYECARE PC

Practice address

7004 Little River Tpke # 2a
Annandale, VA 22003-5965

Phone

(703) 420-7311

NPI assigned

Nov 17, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Syeda Kutub, ODNPI 1639583107

Title

Owner

Phone

(703) 420-7311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

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

• Syeda Kutub, O.D.

  • Optometrist
  • Arlington, VA
  • NPI 1639583107

  DC

  Medicare reassignment NPD Authorized official
• Steven Nguyen-Anh Phan, O.D.

  • Optometrist
  • Arlington, VA
  • NPI 1427842111
  NPD (past)

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765065600000",
    "number": "1891655155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S GLEBE RD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222044354",
            "telephone_number": "703-420-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 LITTLE RIVER TPKE # 2A",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035965",
            "telephone_number": "703-420-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIS EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-12-07",
        "certification_date": "2025-12-07",
        "status": "A",
        "authorized_official_last_name": "KUTUB",
        "authorized_official_first_name": "SYEDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-420-7311",
        "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": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2025; 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.