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POTOMAC EYE CENTER NPI 1386760247


NPI Information

NPI: 1386760247
Provider Name: POTOMAC EYE CENTER
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
5411A BACKLICK RD
SPRINGFIELD, VA
ZIP 22151
Phone: (703) 256-2474
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POTOMAC EYE CENTER is an ophthalmology in Springfield, VA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. POTOMAC EYE CENTER NPI is 1386760247. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5411A BACKLICK RD
SPRINGFIELD, VA
ZIP 22151-915
Phone: (703) 256-2474
Fax: (703) 941-7938

The provider's authorized official is Douglas James Fraser .
The authorized official title is President and has the following contact phone number (703) 256-2474.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology0101023876VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12146733OTHERONENETALLIANCE PROV NO
278521OTHERAETNA PROVIDER ID NUMBER
32146733OTHERMDIPA PROVIDER NUMBER
4274557OTHERVIRGINIAANTHEM PROVIDER NUMBER
5698420OTHERFIRST HEALTH PROV NUMBER
6244846OTHERNCPPO PROVIDER NUMBER
72146733OTHEROPTIMUM CHOICE PROV NO
816820001OTHERCARE FIRST BCBS PROV NO
92146733OTHERMAMSI PROVIDER NUMBER
1008 00148OTHERUNITED HEALTH CARE PROV
1116820001OTHERBCBS NATL CAPITAL PROV NO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.