Individual provider Active NPI

Norma Lizette Zapata-de Perez, MD

  • Ophthalmology Physician
  • Lake Ridge, VA
National Provider Identifier
1992704373
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101230473 Issued in VA
Practice address
12800 Darby Brook CT
Lake Ridge, VA 22192-2487
Phone
(703) 494-1388
Fax
(703) 494-1113
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101230473 VA Primary

Addresses

Primary practice location

12800 Darby Brook CT
Lake Ridge, VA 22192-2487

Mailing address

PO Box 7174
MC Lean, VA 22106-7174
Phone (703) 494-1388

Other identifiers 2

IdentifierTypeStateIssuer
384583OtherVAANTHEM BLUE CROSS/BLUE SH
006302335MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120413000371 VA Practitioner - Ophthalmology 1355502675 Reassigns benefits to 1 organization
I20120606000162 DC Practitioner - Ophthalmology 1355502675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington National Eye CenterGroup PAC ID 2264424043, 28 clinicians

Practice addresses (Care Compare)

110 Irving St NW
1A19
Washington, DC 20010-3017
Phone (202) 877-5329

1920 Opitz Blvd
Woodbridge, VA 22191-3304
Phone (703) 494-1388

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Ridge Ophthalmology LLC Ophthalmology CurrentSince Feb 4, 2002 Accepting new patients
Washington National Eye Center Ophthalmology CurrentSince Sep 30, 2020 Accepting new patients

Locations

110 Irving St NW
#1A19
Washington, DC 20010
Phone (202) 877-5329

110 Irving St NW
Rm 1A
Washington, DC 20010
Phone (202) 877-6519

1860 Town Center Dr
Ste G100
Reston, VA 20190
Phone (703) 433-8700

1920 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 494-1388

12800 Darby Brook Ct
Woodbridge, VA 22192
Phone (703) 490-3729

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1992704373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7174",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221067174",
            "telephone_number": "703-494-1388",
            "fax_number": "703-494-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 DARBY BROOK CT",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221922487",
            "telephone_number": "703-494-1388",
            "fax_number": "703-494-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAPATA-DE PEREZ",
        "first_name": "NORMA",
        "middle_name": "LIZETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101230473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/BLUE SH",
            "identifier": "384583",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006302335",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Ridge, VA

Sources for this page

Verify at the official NPI Registry.