Provider Demographics
NPI:1952468324
Name:METROPOLITAN OPHTHALMOLOGY ASSOCIATES
Entity Type:Organization
Organization Name:METROPOLITAN OPHTHALMOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-356-1927
Mailing Address - Street 1:1515 CHAIN BRIDGE RD STE G17
Mailing Address - Street 2:
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-4421
Mailing Address - Country:US
Mailing Address - Phone:703-356-1927
Mailing Address - Fax:703-356-2223
Practice Address - Street 1:1515 CHAIN BRIDGE RD STE G17
Practice Address - Street 2:
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-4421
Practice Address - Country:US
Practice Address - Phone:703-356-1927
Practice Address - Fax:703-356-2223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA720891M51Medicare ID - Type UnspecifiedCOLLEEN KIRCHOFF
VAI10702Medicare UPIN
VA121139M51Medicare ID - Type UnspecifiedMICHAEL TIGANI
VA014572M51Medicare ID - Type UnspecifiedSARAH MERRILL
VAB93507Medicare UPIN
VAE92282Medicare UPIN