FAIRFAX EYE ASSOCIATES INC
NPI 1881663102
Ophthalmology in Fairfax, VA

Active since March 17, 2006
9936 MAIN ST, FAIRFAX, VA 22031(703) 591-4884(703) 591-6932 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fairfax Eye Associates Inc NPPES

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

FAIRFAX EYE ASSOCIATES INC (NPI 1881663102) is a healthcare organization registered as an ophthalmology in Fairfax, Virginia and active in the NPI registry since March 2006. The organization lists Dertad Manguikian, Owner, as its authorized official.

NPPES Registry Identity

NPI1881663102
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameFAIRFAX EYE ASSOCIATES INC
Location Address9936 MAIN STFairfax, VA 22031
Mailing Address9936 Main StFairfax, VA 22031 · (703) 591-4884 · Fax (703) 591-6932
Fax(703) 591-6932
Organization SubpartNo
Authorized OfficialDertad ManguikianOwner · (703) 591-4884
Enumeration DateMarch 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1881663102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in VA · 0101024017✔ Licensed in VA · 0101051247
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.
9936 MAIN ST, Fairfax, VA 22031

Other Identifiers 1

Medicaid6343643VA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fairfax Eye Associates Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fairfax Eye Associates Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ophthalmology
NPI 1164657342
9936 MAIN ST
Fairfax, VA 22031
(703) 591-4884
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fairfax Eye Associates Inc's NPI number?

The NPI number for Fairfax Eye Associates Inc is 1881663102. It was assigned to this organization in the NPPES registry on March 17, 2006.

Where is Fairfax Eye Associates Inc located?

Fairfax Eye Associates Inc is located at 9936 Main St, Fairfax, VA 22031. The listed phone number is (703) 591-4884.

What is Fairfax Eye Associates Inc's specialty?

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

Is Fairfax Eye Associates Inc enrolled in Medicare?

Yes. Fairfax Eye Associates Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fairfax Eye Associates Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Fairfax Eye Associates Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fairfax Eye Associates Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.