Organization Active NPI

Eye See Optique LLC

  • Optometrist
  • Dumfries, VA
National Provider Identifier
1982490371
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE SEE OPTIQUE LLC
Practice address
16830 Dumfries Rd
Dumfries, VA 22025
Phone
(571) 404-0188
NPI assigned
Apr 15, 2025
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Jennifer Sun, ODNPI 1265660575
Title
Owner/Optometrist
Phone
(571) 404-0188

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
Optometrist 152W00000X Primary

Addresses

Primary practice location

16830 Dumfries Rd
Dumfries, VA 22025

Mailing address

16830 Dumfries Rd
Dumfries, VA 22025
Phone (571) 404-0188

Other practice location 1

2405 Columbia Pike
Arlington, VA 22204-4400
Phone (703) 553-1094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250703000212 VA Part B Supplier - Clinic/Group Practice 8921511734 Receives reassigned benefits from 3 practitioners
Practice locations: Dumfries, VA
O20260130003451 DC Part B Supplier - Clinic/Group Practice 8921511734 Receives reassigned benefits from 3 practitioners
Practice locations: Arlington, VA

National Provider Directory

National Provider Directory

Locations

16830 Dumfries Rd
Dumfries, VA 22025
Phone (571) 404-0188

Practitioners & affiliated clinicians

Practitioners 3

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": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1982490371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16830 DUMFRIES RD",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "22025",
            "telephone_number": "571-404-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16830 DUMFRIES RD",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "22025",
            "telephone_number": "571-404-0188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2405 Columbia Pike",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222044400",
            "country_code": "US",
            "telephone_number": "703-553-1094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYE SEE OPTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "571-404-0188",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.