Provider Demographics
NPI:1720132954
Name:DOMINION EYE CARE, P.C.
Entity type:Organization
Organization Name:DOMINION EYE CARE, P.C.
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 1:388 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-3006
Mailing Address - Country:US
Mailing Address - Phone:540-349-0906
Mailing Address - Fax:540-349-3298
Practice Address - Street 1:388 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-3006
Practice Address - Country:US
Practice Address - Phone:540-349-0906
Practice Address - Fax:540-349-3298
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DOMINION EYE CARE, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-23
Last Update Date:2025-08-12
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