Organization Active NPI

Christopher H Son OD PC

  • Optometrist
  • MC Lean, VA
National Provider Identifier
1972889939
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001121 Issued in VA
Legal business name
CHRISTOPHER H SON OD PC
Practice address
8093L Tysons Corner Ctr
MC Lean, VA 22102
Phone
(703) 748-1366
Fax
(703) 748-1352
NPI assigned
Oct 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Authorized official

Name
Christopher H. Son, O.D.NPI 1063569838
Title
President
Phone
(703) 748-1366

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: 193200000X MULTI-SPECIALTY GROUP 152W00000X 0618001121 VA Primary

Addresses

Primary practice location

8093L Tysons Corner Ctr
MC Lean, VA 22102

Mailing address

8093L Tysons Corner Ctr
MC Lean, VA 22102-4505
Phone (703) 748-1366

Other names 1

  • Optometrist Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171115000906 DC Part B Supplier - Clinic/Group Practice 5698031284 Receives reassigned benefits from 1 practitioner
Practice locations: MC Lean, VA

National Provider Directory

National Provider Directory

Locations

8093 Tysons Corner Ctr
McLean, VA 22102

8093L Tysons Corner Ctr
McLean, VA 22102
Phone (703) 748-1366

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": "1319241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1972889939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8093L TYSONS CORNER CTR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024505",
            "telephone_number": "703-748-1366",
            "fax_number": "703-748-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8093L TYSONS CORNER CTR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "22102",
            "telephone_number": "703-748-1366",
            "fax_number": "703-748-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER H SON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-22",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "SON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-748-1366",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optometrist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optometrist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.