OrganizationActive
Moa Mid-Atlantic Chantilly PC
NPI 1467105569 · Optometrist · Chantilly, VA
Moa Mid-Atlantic Chantilly PC is a Optometrist organization in Chantilly, VA (NPI 1467105569).
Provider details
- NPI number
- 1467105569
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Robert Allen, Ceo(703) 830-6380
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3910 Centreville Rd Ste 102
Chantilly, VA 20151-3280
Phone: (703) 830-6380
Street-level locationGet directions
Mailing address
44365 Premier Plz Ste 210
Ashburn, VA 20147-5058
Registry dates
- Enumerated
- 2022-01-28
- Last updated
- 2022-01-28
- Certified
- 2022-01-28
Frequently asked questions
- What is Moa Mid-Atlantic Chantilly PC's NPI number?
- Moa Mid-Atlantic Chantilly PC's National Provider Identifier (NPI) is 1467105569, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moa Mid-Atlantic Chantilly PC?
- Moa Mid-Atlantic Chantilly PC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Moa Mid-Atlantic Chantilly PC located?
- Moa Mid-Atlantic Chantilly PC's practice location on file with NPPES is 3910 Centreville Rd Ste 102, Chantilly, VA 20151-3280.
- What is Moa Mid-Atlantic Chantilly PC's phone number?
- The practice phone number listed in the NPPES registry for Moa Mid-Atlantic Chantilly PC is (703) 830-6380.
- Who is the authorized official for Moa Mid-Atlantic Chantilly PC?
- The authorized official listed on Moa Mid-Atlantic Chantilly PC's NPPES record is Robert Allen, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moa Mid-Atlantic Chantilly PC's NPI active?
- Yes — Moa Mid-Atlantic Chantilly PC's NPI (1467105569) is active in the NPPES registry as of the last update on 2022-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.