COUNTRYSIDE OPTICAL (NPI# 1700829553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700829553 |
| Entity Type | Organization |
| Organization Name | COUNTRYSIDE OPTICAL |
| Practice Address |
20 Pidgeon Hill Dr Suite 107 Sterling VA 20165-6154 |
| Practice Telephone | 7034448500 |
| Practice Fax Number | 7034063801 |
| Mailing Telephone | 7034448500 |
| Mailing Fax Number | 7034063801 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. FRANCISCO ALTAMIRANO (PRESIDENT) |
| Authorized Official Telephone | 7034448500 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
1101-001527 | VA | Eye and Vision Services Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | COUNTRYSIDE OPTICAL INC. | 20 Pidgeon Hill Drive #107, Sterling, Virginia 20165 |
| Street Address |
20 PIDGEON HILL DR SUITE 107 |
| City | STERLING |
| State | VA |
| Zip Code | 20165-6154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144211145 | Countryside Chiropractic Inc | Chiropractor | 20 Pidgeon Hill Dr, Suite 102, Sterling, VA 20165-6154 | 2005-10-31 |
| 1376076059 | The Ultramed Group, Inc | General Practice | 20 Pidgeon Hill Dr, Suite 102, Sterling, VA 20165-6154 | 2017-04-10 |
| 1205370020 | Virginian Physical Therapy &staffing, LLC | Clinic/Center | 20 Pidgeon Hill Dr, Suite 103, Sterling, VA 20165-6134 | 2016-12-13 |
| 1750711883 | Apple Pediatrics, Pllc | Specialist | 20 Pidgeon Hill Dr, Suite 109, Sterling, VA 20165-6154 | 2013-11-27 |
| 1932471869 | John Jones, Dds | Dentist | 20 Pidgeon Hill Dr, Suite 206, Sterling, VA 20165-6154 | 2012-02-08 |
| 1427367416 | Hala Mohammad Abdallah | Pediatrics | 20 Pidgeon Hill Dr, Suite 109, Sterling, VA 20165-6154 | 2010-09-24 |
| 1558508184 | Rahel G. Yirga Md PC | Internal Medicine | 20 Pidgeon Hill Dr, Sterling, VA 20165-6154 | 2009-01-20 |
| 1821259565 | Aliyat Yimam | Physical Therapist | 20 Pidgeon Hill Dr, Ste 103, Sterling, VA 20165-6134 | 2008-06-24 |
| 1023202942 | Terryl A. White | Dentist | 20 Pidgeon Hill Dr, Suite 207, Sterling, VA 20165-6154 | 2007-09-04 |
| 1215143110 | Hamid John Sattar | Dentist | 20 Pidgeon Hill Dr, Suite #105, Sterling, VA 20165-6154 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578042073 | Potomac Speech, LLC | Clinic/Center | 20657 Shoal Place, Sterling, VA 20165 | 2018-08-07 |
| 1386138600 | Jennifer M Bennett | Specialist | 46691 Cavendish Sq, Sterling, VA 20165 | 2018-06-20 |
| 1689163271 | Horizon Healthcare Professionals, LLC | Registered Nurse | 6 Pidgeon Hill Dr Ste 309, Sterling, VA 20165 | 2018-05-09 |
| 1336668573 | Jennifer Beatriz Henriquez | Student in an Organized Health Care Education/Training Program | 88 Bickel Ct, Sterling, VA 20165 | 2017-09-19 |
| 1134648413 | Alannah Angels Care, LLC | Home Health | 47672 Comer Sq, Sterling, VA 20165 | 2017-09-18 |
| 1215472709 | Hiba Aljumaah | Non-emergency Medical Transport (VAN) | 20829 Miranda Falls Sq, Sterling, VA 20165 | 2016-12-20 |
| 1629465299 | The Key Center of Florida | Health Maintenance Organization | 21155 Whitfield Pl 206, Sterling, VA 20165 | 2015-04-22 |
| 1740679265 | Shahla Zamani | Pharmacist | 46380 Monocacy Square, Potomac Falls, VA 20165 | 2015-01-21 |
| 1598006785 | Jeanine Marie Burke | Physical Therapist | 2 Pidgeon Hill Dr Ste 350, Sterling, VA 20165 | 2013-03-13 |
| 1134464126 | Faisal Hasan | Specialist | 46770 Willowood Place, Potomac Falls, VA 20165 | 2012-12-03 |
| Find all providers in zip 20165 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235431495 | Charles Wesley Durham | Technician/Technologist | 22370 Davis Dr Ste 190, Sterling, VA 20164-5367 | 2010-11-21 |
| 1407040033 | Bonnie L Frank | Technician/Technologist | 100 Broadway St, Suite 26, Sterling, CO 80751-2768 | 2007-08-27 |
| 1912266875 | America's Best Contacts & Eyeglasses | Technician/Technologist | 45591 Dulles Eastern Plz, Sterling, VA 20166-8925 | 2012-05-14 |
| 1730445669 | Kimberly Unrein | Technician/Technologist | 502 W Main St, Sterling, CO 80751-3036 | 2012-04-04 |
| 1619051208 | Wal-mart Stores East, Lp | Technician/Technologist | 45415 Dulles Crossing Plz, Sterling, VA 20166-8921 | 2006-10-24 |
| 1013091644 | Wal-mart Stores, Inc | Technician/Technologist | 4115 E Lincolnway, Sterling, IL 61081-9772 | 2006-10-24 |
| 1306942685 | Sam's Club Optical | Technician/Technologist | 45425 Dulles Crossing Plz, Sterling, VA 20166-8921 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117372 | Martin A Shahmirzadi | Technician/Technologist | 1934 Old Gallows Rd Ste 350b, Vienna, VA 22182-4042 | 2020-09-02 |
| 1902415730 | Blue Ridge Optical | Technician/Technologist | 4910 Valley View Blvd Nw Ste 110, Roanoke, VA 24012-2022 | 2020-07-28 |
| 1316421449 | National Vision Inc | Technician/Technologist | 545a Hilltop Plz, Virginia Beach, VA 23454-4501 | 2018-09-25 |
| 1215417001 | Takenya Norfus | Technician/Technologist | 3031 Kempton Park Rd, Suffolk, VA 23435-2552 | 2018-08-21 |
| 1902390933 | National Vision, Inc. | Technician/Technologist | 14609 Hancock Village Street, Chesterfield, VA 23832 | 2018-06-22 |
| 1780190900 | Rosalind Bond Alexander | Technician/Technologist | 805 Battlefield Blvd N Ste 109, Chesapeake, VA 23320-4878 | 2017-12-26 |
| 1225543275 | Rachel Naomi Melendrez | Technician/Technologist | 125 Mill St Ste 12, Occoquan, VA 22125-7732 | 2017-12-12 |
| 1548774425 | Dean Diffenbaugh | Technician/Technologist | 137 Spotsylvania Mall Ste 440a, Fredericksburg, VA 22407-1126 | 2017-11-29 |
| 1447761408 | David Morris Lambert | Technician/Technologist | 904 N 1st St Ste 100, Richmond, VA 23219-1000 | 2017-10-17 |
| 1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COUNTRYSIDE OPTICAL.
| 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.