Active NPIIndividual provider

Rebecca L Kivlin, OD

Optometrist in Fairfax, Virginia

NPI Number1811369044
Practice location
3031 Javier RD Ste 300, Fairfax, VA 22031-4638
Fax
703-698-8884
Last updated
February 26, 2019

Rebecca Lynne Kivlin is an Optometrist based in Fairfax, VA. Rebecca Lynne Kivlin practices in Fairfax, VA and has the professional credentials of OD. The NPI Number for Rebecca Lynne Kivlin is 1811369044 and holds a License No. 0618002728 (VA). The current practice location address for Rebecca Lynne Kivlin is 3031 Javier RD Ste 300, Fairfax, VA 22031-4638 and can be reached out via phone at 703-698-8880 and via fax at 703-698-8884.

Provider Profile Details

NPI Number
1811369044
Provider Name
Rebecca Lynne Kivlin
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
3031 Javier RD Ste 300, Fairfax, VA 22031-4638
Phone Number
703-698-8880
Fax Number
703-698-8884
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
October 27, 2015
Last Update Date
February 26, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
3031 Javier RD Ste 300
Fairfax, VA 22031-4638
Zip
22031-4638
Phone Number
703-698-8880
Fax Number
703-698-8884
Fairfax, VA 22031Get directions →

Provider Business Mailing Address Details

Address
3031 Javier RD Ste 300
Fairfax, VA 22031-4638
City
Fairfax
State
VA
Zip
22031-4638
Phone Number
703-698-8880
Fax Number
703-698-8884

License Information

License Number (1)
0618002728
License State (1)
VA
Taxonomy (1)
Optometrist · 152W00000X · Primary
License Number (2)
2963
License State (2)
CT
Taxonomy (2)
Optometrist · 152W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rebecca L Kivlin, OD?

The NPI number of Rebecca L Kivlin, OD is 1811369044. It was assigned on October 27, 2015 and is currently active in the NPPES registry.

What is the specialty of Rebecca L Kivlin, OD?

Rebecca L Kivlin, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in VA under license number 0618002728.

Where does Rebecca L Kivlin, OD practice?

The practice location is 3031 Javier RD Ste 300, Fairfax, VA 22031-4638. The office can be reached at 703-698-8880 (phone) or 703-698-8884 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811369044 directly on the NPPES registry website.

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