NPIMap

Organization Active NPI

Advanced Eyecare Consultants

  • Optometrist
  • Dumfries, VA
National Provider Identifier
1902520844
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ADVANCED EYECARE CONSULTANTS
Practice address
4310 Fortuna Center PLZ
Dumfries, VA 22025-1538
Phone
(703) 590-6582
NPI assigned
Oct 3, 2022
Last updated
Oct 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Sadia KarimNPI 1720428899
Title
OD/Owner
Phone
(703) 590-6582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

4310 Fortuna Center PLZ
Dumfries, VA 22025-1538

Mailing address

15602 Altomare Trace Way
Woodbridge, VA 22193-5779

National Provider Directory

National Provider Directory

Locations

15602 Altomare Trace Way
Woodbridge, VA 22193

Practitioners & affiliated clinicians

Practitioners 1

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": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1902520844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15602 ALTOMARE TRACE WAY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 FORTUNA CENTER PLZ",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251538",
            "telephone_number": "703-590-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED EYECARE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "KARIM",
        "authorized_official_first_name": "SADIA",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "703-590-6582"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.