Maximeyes Vision Source, Llc

LBN: Maximeyes Vision Source, Llc
Maximeyes Vision Source, Llc is an health care organization with primary practice located at 11011 Lee Hwy , Fairfax VA 22030-5002. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Maximeyes Vision Source, Llc can be contacted via phone (703) 691-7584, or through Pham, Maria via phone (703) 691-7584.

Contact Information

Primary practice address
11011 Lee Hwy Fairfax VA 22030-5002
Phone: (703) 691-7584
Fax: (703) 591-6271
Website:
Map and Directions
Authorized official contact:
Name: Pham, Maria Doctor of Optometry (OD)
Phone: (703) 691-7584

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618002092 Virginia

Profile Details

NPI number 1295263234
LBN Legal business name Maximeyes Vision Source, Llc
DBA Doing business as
Authorized official Pham, Maria Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2017
Last updated Jun 20th, 2017 - about 7 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 1295263234 NPPES
Virginia Other 0618002092 OPTOMETRY TPA LICENSE

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