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DR. JAMES W SLACK MD
NPI 1073689253
Ophthalmology in Fairfax, VA

Active since November 28, 2006
12255 FAIR LAKES PARKWAY, FAIRFAX, VA 22033(703) 934-5820(703) 934-5290 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James W Slack Md NPPES

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

DR. JAMES W SLACK MD (NPI 1073689253) is an individual ophthalmology provider in Fairfax, Virginia, licensed in Virginia (0101229044) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1073689253
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JAMES W SLACKCredential: MD
Location Address12255 FAIR LAKES PARKWAYFairfax, VA 22033-3952
Mailing Address2101 East Jefferson Street, Ppqa Medicare Compliance Unit 6 West Attn Theresa BrookRockville, MD 20852-4908 · (301) 816-2424 · Fax (301) 816-6308
Phone(703) 934-5820
Fax(703) 934-5290
Sole ProprietorNo
Enumeration DateNovember 28, 2006
Last NPPES UpdateJune 22, 2021
NPPES CertifiedJune 5, 2021
✔ NPI 1073689253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in VA · 0101229044✔ Licensed in MD · D0054382✔ Licensed in DC · MD15560
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
12255 FAIR LAKES PARKWAY, Fairfax, VA 22033
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Other Providers at the Same Location NPPES 18

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

DR. WA-LEE L COURTNEY O.D.
Optometrist
12255 FAIR LAKES PARKWAY
FAIRFAX, VA 22033
Fairfax County (703) 934-5905
DR. DAVID L MEINERT OD
Optometrist
12255 FAIR LAKES PARKWAY
FAIRFAX, VA 22033
Fairfax County (703) 934-5905
DR. MONA REWARI MD
Pediatrics
12255 FAIR LAKES PARKWAY
FAIRFAX, VA 22033
Fairfax County (703) 934-5806
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Pharmacy (Managed Care Organization Pharmacy)
12255 FAIR LAKES PARKWAY
FAIRFAX, VA 22033
Fairfax County (703) 934-5800
MS. REBECCA DIANNE HUFFSTUTLER CRNP
Nurse Practitioner
12255 FAIR LAKES PARKWAY
FAIRFAX, VA 22033
Fairfax County (703) 934-5700
MRS. AMANDA C BROOKS CRNP
Nurse Practitioner
12255 FAIR LAKES PARKWAY
FAIRFAX, VA 22033
Fairfax County (703) 934-5700
DR. NEETA AHUJA MD
Internal Medicine
12255 FAIR LAKES PARKWAY
FAIRFAX, VA 22033
Fairfax County (703) 934-5905
DR. KENNETH WILLIAM JACKSON MD
Orthopaedic Surgery
12255 FAIR LAKES PARKWAY
FAIRFAX, VA 22033
Fairfax County (703) 934-5905

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 James Slack's NPI number?

The NPI number for James Slack is 1073689253. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is James Slack located?

James Slack practices at 12255 Fair Lakes Parkway, Fairfax, VA 22033. The listed phone number is (703) 934-5820.

What is James Slack's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for James Slack was last updated on June 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.