EYE STREET OPTICAL INC (NPI# 1922200096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922200096 |
| Entity Type | Organization |
| Organization Name | EYE STREET OPTICAL INC |
| Practice Address |
3910 Centreville Rd Suite 100 Chantilly VA 20151-3279 |
| Practice Telephone | 7038306377 |
| Practice Fax Number | 7032630326 |
| Mailing Telephone | 7038306377 |
| Mailing Fax Number | 7032630326 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2008-10-08 |
| Authorized Official Name | KATHRYN BERG FRITZKE (OPTICIAN OWNER) |
| Authorized Official Telephone | 7038306377 |
| Authorized Official Credential | OPTICIAN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
1101 000766 | VA | Eye and Vision Services Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | EYE STREET OPTICAL INC. | 3910 Centreville Rd, Ste100, Chantilly, Virginia 20151 |
| Street Address |
3910 CENTREVILLE RD SUITE 100 |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20151-3279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467424275 | Robert M Allen | Optometrist | 3910 Centreville Rd, Suite 100, Chantilly, VA 20151-3279 | 2006-02-06 |
| 1952753212 | Christina Wellner | Chiropractor | 3910 Centreville Rd, Suite 202, Chantilly, VA 20151-3279 | 2016-07-11 |
| 1427421155 | Chantilly Dentist PC | Dentist | 3910 Centreville Rd, Suite 200, Chantilly, VA 20151-3279 | 2015-11-03 |
| 1386030799 | James A Munse | Chiropractor | 3910 Centreville Rd, Suite 202, Chantilly, VA 20151-3279 | 2015-04-13 |
| 1548474190 | Chantilly Dentist PC | Dentist | 3910 Centreville Rd, Suite 200, Chantilly, VA 20151-3279 | 2007-05-10 |
| 1356555007 | David Thomas Babington | Dentist | 3910 Centreville Rd, Suite 200, Chantilly, VA 20151-3279 | 2007-05-10 |
| 1558483347 | Robert M. Allen, Od, PC | Optometrist | 3910 Centreville Rd, #100, Chantilly, VA 20151-3279 | 2007-04-04 |
| 1578682977 | Kelly L Joedicke | Optometrist | 3910 Centreville Rd, #100, Chantilly, VA 20151-3279 | 2007-03-28 |
| 1730237124 | Page Chiropractic Rehabilitation & Wellness PC | Chiropractor | 3910 Centreville Rd, Suite 202, Chantilly, VA 20151-3279 | 2007-01-08 |
| 1891888103 | William Todd Fisher | Chiropractor | 3910 Centreville Rd, Suite 202, Chantilly, VA 20151-3279 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635695 | Sabah Home Care | Home Health | 4221 Walney Rd Suite 500 C, Chantilly, VA 20151 | 2020-06-30 |
| 1205485976 | Huang Wellness Center LLC | Acupuncturist | 14145 Robet Paris Ct, Chantilly, VA 20151 | 2019-09-05 |
| 1376032714 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 14337 Newbrook Drive, Suite 400, Chantilly, VA 20151 | 2018-05-01 |
| 1013405950 | Chantilly Modern Dentistry, PC | Dentist | 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 | 2018-04-26 |
| 1972090389 | Wegmans Food Markets, Inc. | Pharmacy | 14361 Newbrook Dr., Chantilly, VA 20151 | 2018-04-20 |
| 1922526714 | Cynthia Anne Biggar | Specialist/Technologist | 13613 Bare Island Drive, Chantilly, VA 20151 | 2017-09-01 |
| 1497297717 | Rebekah Lee Hinders | Nurse Practitioner | 3914 Centrevill Rd, Suite 101, Chantilly, VA 20151 | 2016-11-17 |
| 1043761117 | Victoria Ranti Balogun | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-10-24 |
| 1619424694 | Erin Booker | Nurse Practitioner | Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-09-07 |
| 1326419078 | Amparo Emilia Kidd | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2015-10-07 |
| Find all providers in zip 20151 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689985889 | Peter Hung Cao | Technician/Technologist | 13955 Metrotech Dr, Chantilly, VA 20151-3239 | 2010-06-23 |
| 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 EYE STREET OPTICAL INC.
| 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.