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MOA MID-ATLANTIC CHANTILLY PC
NPI 1467105569
Optometrist in Chantilly, VA

Active since January 28, 2022
3910 CENTREVILLE RD STE 102, CHANTILLY, VA 20151(703) 830-6380 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Moa Mid-atlantic Chantilly Pc NPPES

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

MOA MID-ATLANTIC CHANTILLY PC (NPI 1467105569) is a healthcare organization registered as an optometrist in Chantilly, Virginia and active in the NPI registry since January 2022. The organization lists Robert Allen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467105569
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMOA MID-ATLANTIC CHANTILLY PC
Location Address3910 CENTREVILLE RD STE 102Chantilly, VA 20151-3280
Mailing Address44365 Premier Plz Ste 210Ashburn, VA 20147-5058 · (703) 830-6380 · Fax (703) 263-2441
Phone(703) 830-6380
Organization SubpartNo
Authorized OfficialRobert AllenCeo · (703) 830-6380
Enumeration DateJanuary 28, 2022
NPPES CertifiedJanuary 28, 2022
✔ NPI 1467105569 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 provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 LLC
Optometrist
3910 CENTREVILLE RD STE 102
CHANTILLY, VA 20151
Fairfax County (703) 719-8811
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 Chantilly PC's NPI number?

The NPI number for Moa Mid-Atlantic Chantilly PC is 1467105569. It was assigned to this organization in the NPPES registry on January 28, 2022.

Where is Moa Mid-Atlantic Chantilly PC located?

Moa Mid-Atlantic Chantilly PC is located at 3910 Centreville Rd Ste 102, Chantilly, VA 20151. The listed phone number is (703) 830-6380.

What is Moa Mid-Atlantic Chantilly PC'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 Chantilly PC was last updated on January 28, 2022. 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.