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

Dr. James W Slack, MD

Individual provider Ophthalmology Physician · NPI 1073689253

Dr. James W Slack, MD is an Ophthalmology Physician in Fairfax, Virginia. Licensed in District of Columbia, Maryland and Virginia. Registered with an NPI since 2006.

Licensed in
DC, MD, VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12255 Fair Lakes Pkwy
Fairfax, VA 22033-3952
Phone: (703) 934-5820
Fax: (703) 934-5290
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 0101229044 (VA)
Ophthalmology Physician Taxonomy 207W00000X · Licence MD15560 (DC)
Ophthalmology Physician Taxonomy 207W00000X · Licence D0054382 (MD)

Record details

NPI number1073689253
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESJune 22, 2021
Certification dateJune 5, 2021
Mailing address2101 East Jefferson Street, Ppqa Medicare Compliance Unit 6 West Attn Theresa Brook, Rockville, MD 20852-4908

Other providers in Fairfax