Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eyedata - Eye Doctors and Technology Advantage

Organization Ophthalmology Physician · NPI 1013358514

Eyedata - Eye Doctors and Technology Advantage is an Ophthalmology Physician in Falls Church, Virginia. Licensed in District of Columbia, Maryland and Virginia. Registered with an NPI since 2013.

Licensed in
DC, MD, VA
In the registry since
2013
Specialties on file
4

Practice location Address checks out

410 S Washington St
Falls Church, VA 22046-4412
Phone: (703) 532-0728
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X
Clinic/Center Taxonomy 261Q00000X · Licence D0069016 (MD)
Clinic/Center Taxonomy 261Q00000X · Licence MD037754 (DC)
Clinic/Center Taxonomy 261Q00000X · Licence 0101249765 (VA)

Record details

NPI number1013358514
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gustavo Corrales Regalado — Director · (301) 335-5860
Other names Vision Consultants And Surgeons / Mg Optical
NPI enumeratedJuly 12, 2013
Last updated in NPPESJuly 21, 2022
Mailing address410 S Washington St, Falls Church, VA 22046-4412

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