EYEGAZE INC. (NPI# 1871658609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871658609 |
| Entity Type | Organization |
| Organization Name | EYEGAZE INC. |
| Practice Address |
10363a Democracy Ln Fairfax VA 22030 |
| Mailing Address |
10363 Democracy Ln Fairfax VA 22030-2505 |
| Practice Telephone | 7033857133 |
| Practice Fax Number | 7033857137 |
| Mailing Telephone | 7033857133 |
| Mailing Fax Number | 7033857137 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-04-24 |
| Authorized Official Name | MR. DIXON CLEVELAND (PRESIDENT AND CEO) |
| Authorized Official Telephone | 7033858800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 003113149 | 05 | |
| VA | ANTHEM BLUE CROSS BLUE SHIELD | 179619 | 01 |
| IN | 200345260A | 05 | |
| NM | 78723566 | 05 | |
| KY | 90006974 | 05 | |
| ME | 17790000 | 05 | |
| MD | 4178963 | 05 | |
| OH | 2411312 | 05 | |
| WA | 9053661 | 05 | |
| CA | 1871658609 | 05 | |
| VA | 1871658609 | 05 | |
| SC | DM1330 | 05 | |
| MI | VLCT1986 | 05 | |
| NJ | 0185221 | 05 | |
| VA | 9100598 | 05 | |
| AL | 009908055 | 05 | |
| PA | 001953189-0001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10363 Democracy Lane, Fairfax, VA 220302505 | 7033858800 | 7033857137 |
| Street Address |
10363A DEMOCRACY LN |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030 |
| 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 | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851862940 | H. Charles Jelinek Jr. Dds | Durable Medical Equipment & Medical Supplies | 8505 Arlington Blvd Ste 260, Fairfax, VA 22031-4636 | 2018-12-16 |
| 1245222652 | Dynquest, Inc. | Durable Medical Equipment & Medical Supplies | 3027 Javier Rd, Suite 1, Fairfax, VA 22031-4652 | 2005-08-22 |
| 1821443672 | H. Charles Jelinek Jr. D.d.s. | Durable Medical Equipment & Medical Supplies | 8505 Arlington Blvd., Ste. 260, Fairfax, VA 22031 | 2016-04-29 |
| 1336480532 | Comfort & Support | Durable Medical Equipment & Medical Supplies | 2750 Prosperity Ave, Ste 120, Fairfax, VA 22031 | 2013-03-13 |
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| 1174099964 | Robin Melody Delbiondo | Durable Medical Equipment & Medical Supplies | 108 Ana Marie Blvd, Waynesboro, VA 22980-9607 | 2018-10-18 |
| 1366925398 | Mpower Me, LLC | Durable Medical Equipment & Medical Supplies | 73 Seven Ponds Rd, Amissville, VA 20106-4212 | 2018-09-14 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1346736014 | Riverside Builders LLC | Durable Medical Equipment & Medical Supplies | 130 Swift Creek Ln, Colonial Heights, VA 23834-1631 | 2018-07-06 |
| 1538663000 | Fmx of Virginia, LLC | Durable Medical Equipment & Medical Supplies | 3 Riverside Cir Room 1287, Roanoke, VA 24016-4955 | 2018-03-20 |
| 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.