Provider Demographics
NPI:1487832135
Name:EVERYDAY EYECARE INC.
Entity Type:Organization
Organization Name:EVERYDAY EYECARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HUONG
Authorized Official - Middle Name:THUY
Authorized Official - Last Name:NGUYEN-DUONG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:703-764-2015
Mailing Address - Street 1:5203A LYNGATE CT
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-1632
Mailing Address - Country:US
Mailing Address - Phone:703-764-2015
Mailing Address - Fax:703-503-4482
Practice Address - Street 1:5203A LYNGATE CT
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-1632
Practice Address - Country:US
Practice Address - Phone:703-764-2015
Practice Address - Fax:703-503-4482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000588152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5511150001Medicare NSC
VAG01581Medicare PIN