DR. HELOI ELAINE STARK (NPI# 1376563874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376563874 |
| Entity Type | Individual |
| Full Name | DR. HELOI ELAINE STARK |
| Credential | O.D. |
| Practice Address |
3900 Jermantown Rd Suite 170 Fairfax VA 22030-4900 |
| Mailing Address |
25869 Pinebluff Dr South Riding VA 20152-1725 |
| Practice Telephone | 7033856134 |
| Mailing Telephone | 7035426728 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | OP754 | DC | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | TA1262 | MD | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 0618000366 | VA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TAX ID | 54-1969118 | 01 |
| Street Address |
3900 JERMANTOWN RD SUITE 170 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659300564 | Heartland Hospice Services LLC | Hospice Care, Community Based | 3900 Jermantown Rd, Suite 460, Fairfax, VA 22030-4900 | 2006-07-02 |
| 1043704232 | Priscilla J Park | Occupational Therapist | 3900 Jermantown Rd, Fairfax, VA 22030-4900 | 2018-06-20 |
| 1174017412 | Sarah J Castrellon | Occupational Therapist | 3900 Jermantown Rd, Fairfax, VA 22030-4900 | 2018-06-20 |
| 1760840920 | Danielle Fletcher | Speech-Language Pathologist | 3900 Jermantown Rd, Suite 150, Fairfax, VA 22030-4900 | 2016-02-03 |
| 1063870236 | Vian Al-baiati | Occupational Therapy Assistant | 3900 Jermantown Rd, Suite 150, Fairfax, VA 22030-4900 | 2016-02-03 |
| 1487012787 | Ashleigh Balsamo Stevens | Occupational Therapist | 3900 Jermantown Rd, #150, Fairfax, VA 22030-4900 | 2016-02-02 |
| 1740682137 | Stephanie Dudley | Occupational Therapist | 3900 Jermantown Rd, Fairfax, VA 22030-4900 | 2014-09-17 |
| 1134558893 | Michelle Kathleen Briggs | Nurse Practitioner | 3900 Jermantown Rd, Suite 460, Fairfax, VA 22030-4900 | 2013-11-04 |
| 1629221973 | Amy Elizabeth Schmitt | Occupational Therapist | 3900 Jermantown Rd, Suite 250, Fairfax, VA 22030-4900 | 2008-10-30 |
| 1902085905 | Sherry Lynne Bowman | Social Worker | 3900 Jermantown Rd, Suite 201, Fairfax, VA 22030-4900 | 2007-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| 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.