ASHBURN VISION SOURCE
NPI 1053799429
Point of Service in Ashburn, VA

NPI Status: Active since May 18, 2015

Contact Information

44075 PIPELINE PLZ
SUITE 205
ASHBURN, VA
ZIP 20147
Phone: (703) 724-9948

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  • Organization
  • Point of Service
  • CLIA Number: 49D2298544
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-04-2026

About ASHBURN VISION SOURCE

This page provides the complete NPI Profile along with additional information for Ashburn Vision Source, a provider established in Ashburn, Virginia operating as a Point Of Service. The healthcare provider is registered in the NPI registry with number 1053799429 assigned on May 2015. The practitioner's primary taxonomy code is 305S00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Ashburn Vision Source. The authorized official of this NPI record is Mr. Thomas Finley (Office Manager)

NPI
1053799429
Provider Legal Name
FS OPTOMETRY LLC
Other Organization Name
ASHBURN VISION SOURCE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
44075 PIPELINE PLZ SUITE 205 ASHBURN, VA 20147
Location Phone
(703) 724-9948
Mailing Address
44075 PIPELINE PLZ SUITE 205 ASHBURN, VA 20147
Mailing Phone
(703) 724-9948
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-18-2015
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Point of Service

Taxonomy Code
305S00000X
Type
Managed Care Organizations
License State
VA
Taxonomy Description
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1305R00000XManaged Care Organizations

Preferred Provider Organization

(VA)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. THOMAS FINLEY

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(703) 772-6259

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2298544
Facility Type
Physician Office
Certificate Effective Date
February 05, 2024
Certificate Expiration Date
February 04, 2026
Laboratory Director
STEPHEN W. HINKLE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ashburn Vision Source to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053799429, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 9 → 18 → 9 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 4 + 9 + 1 + 8 + 4 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1053799429.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Internal Medicine (Rheumatology)
44075 PIPELINE PLZ, SUITE 200
ASHBURN, VA 20147
Durable Medical Equipment & Medical Supplies
44075 PIPELINE PLZ, SUITE 200
ASHBURN, VA 20147
Optometrist
44075 PIPELINE PLZ
ASHBURN, VA 20147
Social Worker (Clinical)
44075 PIPELINE PLZ, STE 220
ASHBURN, VA 20147
Clinic/Center (Primary Care)
44075 PIPELINE PLZ, SUITE 210
ASHBURN, VA 20147
Optometrist
44075 PIPELINE PLZ, SUITE 205
ASHBURN, VA 20147
Optometrist
44075 PIPELINE PLZ, SUITE 205
ASHBURN, VA 20147
Counselor (Mental Health)
44075 PIPELINE PLZ
ASHBURN, VA 20147

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053799429, enumerated as an "organization" on May 18, 2015.

The provider is located at 44075 PIPELINE PLZ SUITE 205 ASHBURN, VA 20147 and the phone number is (703) 724-9948.

Point of Service with taxonomy code 305S00000X.