Organization Active NPI

Sedgewick Eye Associates PC

  • Ophthalmology Physician
  • Ashburn, VA
National Provider Identifier
1912019845
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101225326 Issued in VA
Legal business name
SEDGEWICK EYE ASSOCIATES PC
Practice address
44121 Harry Byrd Hwy
Suite 175
Ashburn, VA 20147
Phone
(703) 723-1981
Fax
(703) 723-3937
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Authorized official

Name
Dr. Jeffrey Hunt Sedgewick, MDNPI 1700998630
Title
Owner/President
Phone
(703) 723-1981

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 0101225326 VA Primary

Addresses

Primary practice location

44121 Harry Byrd Hwy
Suite 175
Ashburn, VA 20147

Mailing address

7008 Churchill Rd
MC Lean, VA 22101-2608
Phone (703) 723-1981

Other practice location 1

3301 Woodburn Rd Ste 104
Annandale, VA 22003-1229
Phone (703) 723-1981

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101104001167 VA Part B Supplier - Clinic/Group Practice 8224933262 Receives reassigned benefits from 1 practitioner
Practice locations: Ashburn, VA

National Provider Directory

National Provider Directory

Locations

6303 Little River Tpke
Ste 610
Alexandria, VA 22312
Phone (703) 725-1698

44121 Leesburg Pike
Ste 175
Ashburn, VA 20147
Phone (703) 723-1981

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1912019845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7008 CHURCHILL RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221012608",
            "telephone_number": "703-723-1981",
            "fax_number": "703-723-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44121 HARRY BYRD HWY",
            "address_2": "SUITE 175",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "20147",
            "telephone_number": "703-723-1981",
            "fax_number": "703-723-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 Woodburn Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220031229",
            "country_code": "US",
            "telephone_number": "703-723-1981",
            "fax_number": "703-723-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEDGEWICK EYE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "SEDGEWICK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "HUNT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "703-723-1981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101225326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.