Organization Active NPI

Eyecare About Eyes, PLLC

  • Optometrist
  • Burke, VA
National Provider Identifier
1932659588
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002359 Issued in VA
Legal business name
EYECARE ABOUT EYES, PLLC
Practice address
9580 Old Keene Mill Rd
Burke, VA 22015-4208
Phone
(571) 320-2219
NPI assigned
Oct 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Authorized official

Name
Dr. Felicia Lily Chen, O.D.NPI 1063829935
Title
Member
Phone
(703) 337-4830

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618002359 VA Primary

Addresses

Primary practice location

9580 Old Keene Mill Rd
Burke, VA 22015-4208

Mailing address

9580 Old Keene Mill Rd
Burke, VA 22015-4208
Phone (703) 337-4830

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170321000573 DC Part B Supplier - Clinic/Group Practice 9133404858 Receives reassigned benefits from 4 practitioners
Practice locations: Burke, VA

National Provider Directory

National Provider Directory

Locations

9580 Old Keene Mill Rd
Burke, VA 22015
Phone (703) 337-4830

Practitioners & affiliated clinicians

Practitioners 4

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": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1932659588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9580 OLD KEENE MILL RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154208",
            "telephone_number": "703-337-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9580 OLD KEENE MILL RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154208",
            "telephone_number": "571-320-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE ABOUT EYES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "LILY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "703-337-4830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.