Fairfax Eye Associates Inc

LBN: Fairfax Eye Associates Inc
Fairfax Eye Associates Inc is an health care organization with primary practice located at 9936 Main St , Fairfax VA 22031. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Fairfax Eye Associates Inc can be contacted via phone (703) 591-4884, or through Manguikian, Dertad via phone (703) 591-4884.

Contact Information

Primary practice address
9936 Main St Fairfax VA 22031
Phone: (703) 591-4884
Fax: (703) 591-6932
Website:
Map and Directions
Authorized official contact:
Name: Manguikian, Dertad Doctor of Medicine (MD)
Phone: (703) 591-4884

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101024017 Virginia
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101051247 Virginia

Profile Details

NPI number 1881663102
LBN Legal business name Fairfax Eye Associates Inc
DBA Doing business as
Authorized official Manguikian, Dertad Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881663102 NPPES
Virginia MEDICAID 6343643

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