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EYEDATA - EYE DOCTORS AND TECHNOLOGY ADVANTAGE NPI 1013358514


NPI Information

NPI: 1013358514
Provider Name: EYEDATA - EYE DOCTORS AND TECHNOLOGY ADVANTAGE

Doing Business As: VISION CONSULTANTS AND SURGEONS / MG OPTICAL

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
410 S WASHINGTON ST
FALLS CHURCH, VA
ZIP 22046
Phone: (703) 532-0728
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EYEDATA - EYE DOCTORS AND TECHNOLOGY ADVANTAGE is an ophthalmology in Falls Church, 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. EYEDATA - EYE DOCTORS AND TECHNOLOGY ADVANTAGE NPI is 1013358514. The provider is registered as an organization entity type.
The provider Is Doing Business As Vision Consultants And Surgeons / Mg Optical.

The provider's business location address is:

410 S WASHINGTON ST
FALLS CHURCH, VA
ZIP 22046-412
Phone: (703) 532-0728

The provider's authorized official is Gustavo Adolfo Corrales Regalado .
The authorized official title is Director and has the following contact phone number (301) 335-5860.

The enumeration date for this NPI number is 7/12/2013 and was last updated on 6/16/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterD0069016MARYLANDNo
2261Q00000XClinic/CenterMD037754DISTRICT OF COLUMBIANo
3261Q00000XClinic/Center0101249765VIRGINIANo
4207W00000XOphthalmologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A400003148OTHERMARYLANDMEDICARE PROVIDER NUMBER

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: 11/14/2023

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