Provider Demographics
NPI:1720132954
Name:NOVA EYE EXPERTS, PLLC
Entity type:Organization
Organization Name:NOVA EYE EXPERTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-361-3128
Mailing Address - Street 1:42258 GRAVES MOUNTAIN TER
Mailing Address - Street 2:
Mailing Address - City:SOUTH RIDING
Mailing Address - State:VA
Mailing Address - Zip Code:20152-3262
Mailing Address - Country:US
Mailing Address - Phone:804-503-8347
Mailing Address - Fax:571-800-1033
Practice Address - Street 1:388 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186
Practice Address - Country:US
Practice Address - Phone:540-349-0906
Practice Address - Fax:540-349-3298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VACG4422OtherRAIL ROAD MEDICARE GRP
VA090868OtherBCBS OF VA ANTHEM
VAC01662Medicare PIN