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MOA MID-ATLANTIC LLC
NPI 1073279378
Optometrist in Chantilly, VA

Active since November 10, 2021
3910 CENTREVILLE RD STE 102, CHANTILLY, VA 20151(703) 719-8811(703) 263-2441 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Moa Mid-atlantic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOA MID-ATLANTIC LLC (NPI 1073279378) is a healthcare organization registered as an optometrist in Chantilly, Virginia and active in the NPI registry since November 2021. The organization lists Robert M Allen, Ceo / Doctor, as its authorized official.

NPPES Registry Identity

NPI1073279378
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMOA MID-ATLANTIC LLC
Location Address3910 CENTREVILLE RD STE 102Chantilly, VA 20151-3280
Mailing Address3910 Centreville Rd Ste 102Chantilly, VA 20151-3280 · (703) 719-8811 · Fax (703) 263-2441
Phone(703) 719-8811
Fax(703) 263-2441
Organization SubpartNo
Authorized OfficialRobert M AllenCeo / Doctor · (703) 719-8811
Enumeration DateNovember 10, 2021
NPPES CertifiedNovember 10, 2021
✔ NPI 1073279378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3910 CENTREVILLE RD STE 102, Chantilly, VA 20151
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOVA NEURO BRAIN CENTER
Chiropractor (Neurology)
3910 CENTREVILLE RD STE 102
CHANTILLY, VA 20151
Fairfax County (703) 758-1896
MOA MID-ATLANTIC CHANTILLY PC
Optometrist
3910 CENTREVILLE RD STE 102
CHANTILLY, VA 20151
Fairfax County (703) 830-6380
FORREST JOSEPH FISHER
Chiropractor (Neurology)
3910 CENTREVILLE RD STE 102
CHANTILLY, VA 20151
Fairfax County (703) 881-1627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moa Mid-Atlantic LLC's NPI number?

The NPI number for Moa Mid-Atlantic LLC is 1073279378. It was assigned to this organization in the NPPES registry on November 10, 2021.

Where is Moa Mid-Atlantic LLC located?

Moa Mid-Atlantic LLC is located at 3910 Centreville Rd Ste 102, Chantilly, VA 20151. The listed phone number is (703) 719-8811.

What is Moa Mid-Atlantic LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Moa Mid-Atlantic LLC was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.