Organization
NEW ERA EYECARE, LLC
Active
Other names
New Era Eyecare Optometrist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN R ADAIR III O.D. (PRESIDENT/OWNER)
(703) 830-3977
Entity
Organization
Contact information
Practice address
20789 GREAT FALLS PLZ STE 108, STERLING, VA 20165-2483
(571) 375-7950
(571) 375-7961
Mailing address
5718 UNION MILL RD, CLIFTON, VA 20124-1088
(703) 830-3977
(703) 830-0714
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
061800670
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081542100
—
DC
01
—
183485
MEDICARE PTAN
—
05
—
1891905253
—
VA
Enumeration date
10/20/2014
Last updated
10/20/2014
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