Potomac Eye Center in Springfield - Durable Medical Equipment & Medical Supplies
Potomac Eye Center - NPI 1114052065
Potomac Eye Center is a Durable Medical Equipment & Medical Supplies in Springfield, Virginia. Potomac Eye Center practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Potomac Eye Center is 1114052065. The last update date is 2008-12-17.
Potomac Eye Center's current location address is 5411a Backlick Rd, Springfield, Virginia. You can contact this provider via phone number 7032562474. 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 | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Fraser,Jr. James Douglas |
| Credentials | M.D. |
| Telephone Number | 7032562474 |
NPI Number Detail
| NPI Number | 1114052065 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2008-12-17 |
Provider Mailing Address Detail
| Address | 5411a Backlick Rd |
|---|---|
| City | Springfield |
| State | Virginia (VA) |
| Post Code | 221513915 |
| Phone Number | 7032562474 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | 101023876 |
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Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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What is the unique 10-digit identifier code issued to Potomac Eye Center by the Centers for Medicare & Medicaid Services?
The Potomac Eye Center has been assigned the NPI (National Provider Identifier) 1114052065 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Potomac Eye Center is physically located?
The Potomac Eye Center is situated at the following address: 5411A Backlick Rd, Springfield, VA 221513915.
What is Potomac Eye Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Potomac Eye Center is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy classification code for this specialized field is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114052065 to Potomac Eye Center?
The Potomac Eye Center received its 1114052065 assignment from the Centers for Medicare & Medicaid Services on 2007-02-22.
As of what date were the details related to Potomac Eye Center most recently updated or revised?
The information pertaining to Potomac Eye Center, including its address, specialty, and other relevant details, was last updated or revised on 2008-12-17.
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