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NORTHERN VIRGINIA EYE SURGERY CENTER, LLC
NPI 1407079155
Clinic/Center - Ambulatory Surgical in Fairfax, VA

Active since April 11, 2007CLIA 49D1071085 · Waiver
2710 PROSPERITY AVE, SUITE 150, FAIRFAX, VA 22031(703) 289-1290(703) 289-1298 Get Directions Write a Review

NPPES record last updated: October 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northern Virginia Eye Surgery Center, Llc NPPES

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

NORTHERN VIRGINIA EYE SURGERY CENTER, LLC (NPI 1407079155) is a healthcare organization registered as an ambulatory surgical in Fairfax, Virginia and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through July 17, 2027 and lists William Rich, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1407079155
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTHERN VIRGINIA EYE SURGERY CENTER, LLC
Location Address2710 PROSPERITY AVE, SUITE 150Fairfax, VA 22031-4320
Mailing Address2710 Prosperity Ave, Suite 150Fairfax, VA 22031-4320 · (703) 289-1290 · Fax (703) 289-1298
Phone(703) 289-1290
Fax(703) 289-1298
Organization SubpartNo
Authorized OfficialWilliam RichMedical Director · (703) 534-3900
Enumeration DateApril 11, 2007
Last NPPES UpdateOctober 15, 2008
✔ NPI 1407079155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in VA · OH712
2710 PROSPERITY AVE, Fairfax, VA 22031
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN130731VA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D1071085

Northern Virginia Eye Surgery Center, LLC · Fairfax, VA
Active · expires Jul 17, 2027
CLIA Number49D1071085
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 18, 2025
Certificate Expiration DateJuly 17, 2027
Laboratory DirectorJohn P. Essepian
Laboratory Phone(703) 289-1290
Laboratory LocationNorthern Virginia Eye Surgery Center, LLC2710 Prosperity Avenue, Ste 150, Fairfax, VA 22031
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
2,506 services1,532 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
199 services165 patients
Incision to improve eye fluid flow 65820
This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.
132 services93 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
99 services80 patients
Dilation of fluid outflow drainage within eye 66174
Dilation to improve eye fluid flow is a process where eye drops are used to widen or dilate your pupils. This allows more fluid to flow out of the eye, reducing pressure and helping to prevent or treat conditions like glaucoma.
45 services30 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
33 services21 patients

Other Providers at the Same Location NPPES 6

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

EMILY DETTBARN
Registered Nurse
2710 PROSPERITY AVE
FAIRFAX, VA 22031
Fairfax County (702) 289-1290
DR. KATHERINE W KHALIFEH MD
Colon & Rectal Surgery
2710 PROSPERITY AVE, SUITE 200
FAIRFAX, VA 22031
Fairfax County (703) 280-2841
ELIZABETH KLAES YORK PA-C
Physician Assistant
2710 PROSPERITY AVE, SUITE 200
FAIRFAX, VA 22031
Fairfax County (703) 280-2841
DR. JOHN DAVID TILLOU MD
Colon & Rectal Surgery
2710 PROSPERITY AVE, STE 200
FAIRFAX, VA 22031
Fairfax County (703) 280-2841
DR. CAROLINE SANCHEZ M.D.
Colon & Rectal Surgery
2710 PROSPERITY AVE, SUITE 200
FAIRFAX, VA 22031
Fairfax County (703) 280-2841
KIMBERLY ANN MATZIE MD
Colon & Rectal Surgery
2710 PROSPERITY AVE, SUITE 200
FAIRFAX, VA 22031
Fairfax County (703) 280-2841

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 Northern Virginia Eye Surgery Center, LLC's NPI number?

The NPI number for Northern Virginia Eye Surgery Center, LLC is 1407079155. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is Northern Virginia Eye Surgery Center, LLC located?

Northern Virginia Eye Surgery Center, LLC is located at 2710 Prosperity Ave Suite 150, Fairfax, VA 22031. The listed phone number is (703) 289-1290.

What is Northern Virginia Eye Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Northern Virginia Eye Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1071085) is associated with this NPI, valid through July 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northern Virginia Eye Surgery Center, LLC was last updated on October 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.