JAMES W MATTERN (NPI# 1104973205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104973205 |
| Entity Type | Individual |
| Full Name | JAMES W MATTERN |
| Credential | O.D. |
| Practice Address |
3025 Hamaker Ct Ste 101 Fairfax VA 22031-2229 |
| Mailing Address |
3025 Hamaker Ct Suite # 101 Fairfax VA 22031-2237 |
| Practice Telephone | 7038769630 |
| Practice Fax Number | 7038760163 |
| Mailing Telephone | 7038769630 |
| Mailing Fax Number | 7038760163 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2012-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0618000912 | VA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 009237071 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568648830 | James C Mattern | Chiropractor | 1231 Cumberland Ave #d, West Lafayette, IN 47906-1358 | 2008-01-16 |
| Street Address |
3025 HAMAKER CT STE 101 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548317555 | James E Powers | Optometrist | 3025 Hamaker Ct Ste 101, Fairfax, VA 22031-2229 | 2007-01-04 |
| 1316094337 | Capital Eye Consultants, P.C. | Ophthalmology | 3025 Hamaker Ct Ste 101, Fairfax, VA 22031-2229 | 2007-01-04 |
| 1083761183 | John C Baldinger | Ophthalmology | 3025 Hamaker Ct Ste 101, Fairfax, VA 22031-2229 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528629110 | Atoz Eye Care LLC | Optometrist | 12426 Oak Rail Ln, Fairfax, VA 22033-6067 | 2019-06-24 |
| 1336661446 | Roman Golas | Optometrist | 3903 Fair Ridge Dr Ste E, Fairfax, VA 22033-2943 | 2017-07-10 |
| 1447788054 | Nicole Nguyen | Optometrist | 3950 University Dr Ste 211, Fairfax, VA 22030-2566 | 2017-05-25 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1063897494 | Manmeet Chatha | Optometrist | 3903 Fair Ridge Dr Unit E, Fairfax, VA 22033-2943 | 2015-07-27 |
| 1235536103 | Nova Premier Eyecare | Optometrist | 10333 Democracy Ln, Suite A, Fairfax, VA 22030-2544 | 2014-11-20 |
| 1740687789 | Isha Khosa | Optometrist | 4203 Fairfax Corner Ave E, Fairfax, VA 22030-8601 | 2014-11-19 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1023353356 | Merrifield Optometry, LLC | Optometrist | 2910 District Ave, Suite 160, Fairfax, VA 22031-2282 | 2012-11-27 |
| 1811243769 | Visual Health Doctors of Optometry | Optometrist | 10690 Fairfax Blvd, Fairfax, VA 22030-4379 | 2012-07-30 |
| Find all providers in FAIRFAX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.