Provider Demographics
NPI:1609936434
Name:FAMILY EYE CARE, INC.
Entity Type:Organization
Organization Name:FAMILY EYE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CONNELL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:TRIMBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-751-4148
Mailing Address - Street 1:3223 DUKE STREET
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4555
Mailing Address - Country:US
Mailing Address - Phone:703-751-4148
Mailing Address - Fax:
Practice Address - Street 1:3223 DUKE ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-4586
Practice Address - Country:US
Practice Address - Phone:703-751-4148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0745420001Medicare ID - Type Unspecified