FAIR LAKES OPTOMETRY (NPI# 1467974634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467974634 |
| Entity Type | Organization |
| Organization Name | FAIR LAKES OPTOMETRY |
| Practice Address |
13047 Fair Lakes Shopping Ctr Fairfax VA 22033-5179 |
| Mailing Address |
12587 Fair Lakes Cir # 502 Fairfax VA 22033-3822 |
| Practice Telephone | 7035023090 |
| Mailing Telephone | 7035023090 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-07-25 |
| Authorized Official Name | DR. ANH NGUYEN (OPTOMETRIST) |
| Authorized Official Telephone | 5714354558 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0618002149 | VA | Eye and Vision Services Providers |
| Street Address |
13047 FAIR LAKES SHOPPING CTR |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-5179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003838780 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 13047 Fair Lakes Shopping Ctr, Fairfax, VA 22033-5179 | 2006-07-24 |
| 1619367588 | Shannon Abell | Pharmacy Technician | 13047 Fair Lakes Shopping Ctr, Fairfax, VA 22033-5179 | 2015-01-30 |
| 1255721023 | Suhaila Omar | Pharmacy Technician | 13047 Fair Lakes Shopping Ctr, Fairfax, VA 22033-5179 | 2015-01-30 |
| 1699165563 | Diem Lindsey | Pharmacy Technician | 13047 Fair Lakes Shopping Ctr, Fairfax, VA 22033-5179 | 2015-01-30 |
| 1699116335 | Wanda Nguyen | Pharmacist | 13047 Fair Lakes Shopping Ctr, Fairfax, VA 22033-5179 | 2013-07-10 |
| 1477807279 | Anh Tram Nguyen | Optometrist | 13047 Fair Lakes Shopping Ctr, Fairfax, VA 22033-5179 | 2012-10-31 |
| 1609144914 | Cecilia M Carballo | Pharmacist | 13047 Fair Lakes Shopping Ctr, T1341, Fairfax, VA 22033-5179 | 2011-12-01 |
| 1518254390 | Vikas Arora | Pharmacist | 13047 Fair Lakes Shopping Ctr, T-1341, Fairfax, VA 22033-5179 | 2011-06-30 |
| 1720375504 | Julianne Yunha Lee | Pharmacist | 13047 Fair Lakes Shopping Ctr, T-1341, Fairfax, VA 22033-5179 | 2011-06-30 |
| 1023304839 | Patricia Powers | Pharmacist | 13047 Fair Lakes Shopping Ctr, T-1341, Fairfax, VA 22033-5179 | 2011-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| 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.