Envision Eyecare PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ENVISION EYECARE PLLC

Practice address

217 Garrisonville Rd
Stafford, VA 22554-1527

Phone

(540) 659-6983

NPI assigned

Sep 20, 2022

Last updated

Feb 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Jerjos, ODNPI 1043705288

Title

Optometrist

Phone

(484) 664-0035

Specialties & licenses 1

Addresses

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.

• Michael Joseph Jerjos, OD

  • Optometrist
  • Philadelphia, PA
  • NPI 1043705288
  NPD Authorized official

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1922721554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14701 RIVER WALK WAY APT 134",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915955",
            "telephone_number": "484-664-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 GARRISONVILLE RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541527",
            "telephone_number": "540-659-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "JERJOS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "484-664-0035",
        "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": []
}

• Fatmata Endeley, MSN, BSN, RN.
• Michelle Y Engel, M.A., CCC-SLP
• Hannah Karen England
• Enhanced Healthcare Services LLC
• April Enriquez, L.AC.
• Rebecca Ephrem
• Grace Epps
• Equilibrium Mindscape LLC
• Alexis R. Erb
• Megan Emma Erb, OTR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.