Edwin Ross Adair III, OD
Individual provider Active NPI Optometrist · Clifton, VA
NPI 1891905253 · NPPES record last updated Oct 21, 2010
Key facts
- NPI
- 1891905253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 0618000670 (VA)
- Practice address
- 5718 Union Mill Rd
Clifton, VA 20124-1088 - Phone
- (703) 830-3977
- Fax
- (703) 830-0714
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New Era Eyecare LLC
Practice addresses (Care Compare)
113 N Washington St
Alexandria, VA 22314-3022
Phone (703) 549-2828
5718 Uniion Mill Rd
Clifton, VA 20124-1088
Phone (703) 830-3977
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100730000174 | DC | Practitioner - Optometry | 4789717562 | Reassigns benefits to 1 organization |
| I20150213001885 | VA | Practitioner - Optometry | 4789717562 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618000670 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Era Eyecare, LLC | Optometrist | Current | Accepting new patients |
Locations
4660 Kenmore Ave
Ste 101
Alexandria, VA 22304
Phone (703) 751-2800
5718 Union Mill Rd
Clifton, VA 20124
Phone (703) 830-3977
20789 Great Falls Plz
Ste 108
Sterling, VA 20165
Phone (571) 313-1942
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618000670 | VA | Yes |
Addresses
Primary practice location
5718 Union Mill Rd
Clifton, VA 20124-1088
Mailing address
5718 Union Mill Rd
Clifton, VA 20124-1088
Phone (703) 830-3977
Other providers in Clifton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.