Provider Type Icon

LIFETIME VISION& CONTACTS P.C. NPI 1396933107


NPI Information

NPI: 1396933107
Provider Name: LIFETIME VISION& CONTACTS P.C.
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
44345 PREMIER PLZ
SUITE # 100
ASHBURN, VA
ZIP 20147
Phone: (703) 729-8393
Get Directions

LIFETIME VISION& CONTACTS P.C. is a medical specialty clinic center in Ashburn, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). LIFETIME VISION& CONTACTS P.C. NPI is 1396933107. The provider is registered as an organization entity type.

The provider's business location address is:

44345 PREMIER PLZ
SUITE # 100
ASHBURN, VA
ZIP 20147-053
Phone: (703) 729-8393
Fax: (703) 729-8394

The provider's authorized official is Gordon Vincent Culp .
The authorized official title is President and has the following contact phone number (703) 729-8393.

The enumeration date for this NPI number is 10/5/2007 and was last updated on 10/10/2008.


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
1261QM2500XClinic/CenterMedical Specialty0618000034VIRGINIAYes

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
1C10452MEDICARE PINVIRGINIA

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.