EYEGAZE INC. NPI 1871658609

NPI Information

NPI: 1871658609
Provider Name: EYEGAZE INC.
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
10363A DEMOCRACY LN
FAIRFAX, VA
ZIP 22030
Phone: (703) 385-7133
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EYEGAZE INC. is a customized equipment durable medical equipment medical supplies in Fairfax, VA. EYEGAZE INC. NPI is 1871658609. The provider is registered as an organization entity type.

The provider's business location address is:

10363A DEMOCRACY LN
FAIRFAX, VA
ZIP 22030
Phone: (703) 385-7133
Fax: (703) 385-7137

The provider's authorized official is Dixon Cleveland .
The authorized official title is President And Ceo and has the following contact phone number (703) 385-8800.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 4/24/2020.

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
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

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
1	003113149	MEDICAID	CONNECTICUT
2	179619	OTHER	VIRGINIA	ANTHEM BLUE CROSS BLUE SHIELD
3	200345260A	MEDICAID	INDIANA
4	78723566	MEDICAID	NEW MEXICO
5	90006974	MEDICAID	KENTUCKY
6	17790000	MEDICAID	MAINE
7	4178963	MEDICAID	MARYLAND
8	2411312	MEDICAID	OHIO
9	9053661	MEDICAID	WASHINGTON
10	1871658609	MEDICAID	CALIFORNIA
11	1871658609	MEDICAID	VIRGINIA
12	DM1330	MEDICAID	SOUTH CAROLINA
13	VLCT1986	MEDICAID	MICHIGAN
14	0185221	MEDICAID	NEW JERSEY
15	9100598	MEDICAID	VIRGINIA
16	009908055	MEDICAID	ALABAMA
17	001953189-0001	MEDICAID	PENNSYLVANIA

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: 4/28/2024

NPI Synchronization or Removal

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