Healthcare Provider Details

I. General information

NPI: 1427236892
Provider Name (Legal Business Name): ACCESS EYE CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2008
Last Update Date: 04/30/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4516 PLANK RD.
FREDERICKSBURG VA
22407-0147
US

IV. Provider business mailing address

110 CAMBRIDGE ST.
FREDERICKSBURG VA
22405-1924
US

V. Phone/Fax

Practice location:
  • Phone: 540-371-2020
  • Fax: 540-373-0141
Mailing address:
  • Phone: 540-371-2020
  • Fax: 540-373-0141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number0101840394
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: ARASH MANSOURI
Title or Position: PRESIDENT/OWNER
Credential: M.D.
Phone: 540-371-2020