Organization Active NPI

Mac Donald Eye Care, PLLC

  • Optometrist
  • Arlington, VA
National Provider Identifier
1962652586
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000610 Issued in VA
Legal business name
MAC DONALD EYE CARE, PLLC
Practice address
4238 Wilson Blvd
Suite 2266
Arlington, VA 22203-1823
Phone
(703) 527-7000
Fax
(703) 527-1000
NPI assigned
Sep 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Authorized official

Name
Dr. Diane Marie Macdonald, O.D.
Title
Owner
Phone
(703) 527-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618000610 VA Primary

Addresses

Primary practice location

4238 Wilson Blvd
Suite 2266
Arlington, VA 22203-1823

Mailing address

4238 Wilson Blvd
Suite 2266
Arlington, VA 22203-1823
Phone (703) 527-7000

National Provider Directory

National Provider Directory

Locations

4238 Wilson Blvd
#2266
Arlington, VA 22203
Phone (703) 527-7000

4238 Wilson Blvd
Ste 2266
Arlington, VA 22203
Phone (703) 527-7000

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1962652586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4238 WILSON BLVD",
            "address_2": "SUITE 2266",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031823",
            "telephone_number": "703-527-7000",
            "fax_number": "703-527-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4238 WILSON BLVD",
            "address_2": "SUITE 2266",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031823",
            "telephone_number": "703-527-7000",
            "fax_number": "703-527-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAC DONALD EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-527-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.