STACY MARIE JAFFE (NPI# 1720451321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720451321 |
| Entity Type | Individual |
| Full Name | STACY MARIE JAFFE |
| Other Name | STACY MARIE FORTIN |
| Credential | O.D. |
| Practice Address |
44050 Ashburn Village Blvd. Suite 163 Ashubrn VA 20147-7827 |
| Mailing Address |
1234 Massachusetts Ave Nw Apt 1020 Washington DC 20005-4526 |
| Practice Telephone | 7037260005 |
| Mailing Telephone | 8159540749 |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2016-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0618002441 | VA | Eye and Vision Services Providers |
| Street Address |
44050 ASHBURN VILLAGE BLVD. SUITE 163 |
| City | ASHUBRN |
| State | VA |
| Zip Code | 20147-7827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
| 1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
| 1164065967 | Dorsa Salehi | Behavior Technician | 44933 George Washing Blvd, Suite 115, Ashburn, VA 20147 | 2019-10-24 |
| 1659837094 | Sandrine Shanghai | Case Management | 44933 George Washington Parkway, Suite 110, Ashburn, VA 20147 | 2019-02-11 |
| 1033684154 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 44835 Russel Branch Parkway, Ashburn, VA 20147 | 2018-10-04 |
| 1417437203 | Roshni A Patel | Optometrist | 44050 Ashburn Village Blvd, Suite 163, Ashburn, VA 20147 | 2018-08-21 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1033608542 | Justin Leeman | Physical Therapist | 21625 Red Rum Dr, Ashburn, VA 20147 | 2018-05-09 |
| 1255860680 | Aperiomics, Inc. | Clinical Medical Laboratory | 45085 University Dr, Ste 305, Ashburn, VA 20147 | 2017-06-08 |
| 1427591643 | Monecia Michelle Nelms | Counselor | 20925 Professional Plaza, Suite #320, Ashburn, VA 20147 | 2016-11-19 |
| Find all providers in zip 20147 | ||||
| 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 |
|---|---|---|---|---|
| 1033710124 | Ryan Henger | Optometrist | 12551 Jefferson Ave Ste 249, Newport News, VA 23602-4487 | 2020-11-04 |
| 1457977050 | Carl Brandon Myers | Optometrist | 8125 Timberlake Rd, Lynchburg, VA 24502-2607 | 2020-06-19 |
| 1942826565 | Kendall Shafran | Optometrist | 44365 Premier Plz Ste 210, Ashburn, VA 20147-5058 | 2020-06-19 |
| 1033733258 | Emily Scannell | Optometrist | 1560 Mall Dr, Norfolk, VA 23511-3806 | 2020-06-03 |
| 1962024711 | Nova Optique and Eyecare | Optometrist | 672 N Glebe Rd, Arlington, VA 22203-2161 | 2020-05-15 |
| 1891323101 | Sharpvue Eyecare Pllc | Optometrist | 15243 Forest Rd Ste E, Forest, VA 24551-4974 | 2020-03-31 |
| 1871123943 | Lois Hermann Phillips | Optometrist | 9 Gamebird Ct, Manakin Sabot, VA 23103 | 2020-01-17 |
| 1356991830 | Finpax | Optometrist | 11847 Aspengraf Ln Ste A, New Kent, VA 23124-2130 | 2019-09-16 |
| 1629627559 | Seth Gorman | Optometrist | 4501 S Laburnum Ave Ste 145, Richmond, VA 23231-2483 | 2019-09-04 |
| 1679121800 | George Z Ishak | Optometrist | 1871 Carl D Silver Pkwy Ste 1113, Fredericksburg, VA 22401-4969 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
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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.