Provider Demographics
NPI:1912886359
Name:BEYOND EYECARE
Entity type:Organization
Organization Name:BEYOND EYECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:KHALDIEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-239-6633
Mailing Address - Street 1:2539 JOHN MILTON DR
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-2527
Mailing Address - Country:US
Mailing Address - Phone:703-239-6633
Mailing Address - Fax:
Practice Address - Street 1:2911 HUNTER MILL RD STE 101
Practice Address - Street 2:
Practice Address - City:OAKTON
Practice Address - State:VA
Practice Address - Zip Code:22124-1719
Practice Address - Country:US
Practice Address - Phone:703-239-6630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEYOND EYECARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-29
Last Update Date:2025-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty