Potomac Eye Center in Springfield - Ophthalmology
Potomac Eye Center - NPI 1386760247
Potomac Eye Center is a Ophthalmology in Springfield, Virginia. Potomac Eye Center practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Potomac Eye Center is 1386760247. The last update date is 2020-08-22.
Potomac Eye Center's current location address is 5411a Backlick Rd, Springfield, Virginia. You can contact this provider via phone number 7032562474 and fax number 7039417938. The mailing address for Potomac Eye Center is 5411a Backlick Rd, Springfield, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Potomac Eye Center |
|---|---|
| Address | 5411a Backlick Rd, Springfield, Virginia |
| Phone Number | 7032562474 |
| Fax Number | 7039417938 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Fraser James Douglas |
| Credentials | M.D. |
| Telephone Number | 7032562474 |
NPI Number Detail
| NPI Number | 1386760247 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5411a Backlick Rd |
|---|---|
| City | Springfield |
| State | Virginia (VA) |
| Post Code | 221513915 |
| Phone Number | 7032562474 |
| Fax Number | 7039417938 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 101023876 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 244846 | NCPPO PROVIDER NUMBER | ||
| 78521 | AETNA PROVIDER ID NUMBER | ||
| 2146733 | MDIPA PROVIDER NUMBER | ||
| 2146733 | ONENETALLIANCE PROV NO | ||
| 08 00148 | UNITED HEALTH CARE PROV | ||
| 16820001 | CARE FIRST BCBS PROV NO | ||
| 698420 | FIRST HEALTH PROV NUMBER | ||
| 16820001 | BCBS NATL CAPITAL PROV NO | ||
| 2146733 | MAMSI PROVIDER NUMBER | ||
| 2146733 | OPTIMUM CHOICE PROV NO |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Potomac Eye Center by the Centers for Medicare & Medicaid Services?
The Potomac Eye Center has been issued the NPI (National Provider Identifier) 1386760247, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Potomac Eye Center?
The Potomac Eye Center is situated at 5411A Backlick Rd, in the city of Springfield, state of VA, with the zip code 221513915.
What is the Potomac Eye Center's specialty and taxonomy code?
The Potomac Eye Center's specialty is Ophthalmology, and the corresponding taxonomy code is 207W00000X.
When did Potomac Eye Center receive its 1386760247 assignment?
The Potomac Eye Center was assigned its 1386760247 on 2007-03-22, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Potomac Eye Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Potomac Eye Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.