Moa Mid-Atlantic LLC
Moa Mid-Atlantic LLC is a healthcare organization registered as Optometrist in Chantilly, VA, holding Type 2 (organization) NPI 1073279378 since 2021. The authorized official on file is Robert Allen, Ceo / Doctor.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1073279378 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Moa Mid-Atlantic LLC |
| Practice address | 3910 CENTREVILLE RD STE 102, Chantilly, VA, 20151 |
| Phone | 7037198811 |
| Fax | 7032632441 |
| Enumeration date | 2021-11-10 |
| Last updated in NPPES | 2021-11-10 |
Authorized official
| Name | Robert Allen |
|---|---|
| Title | Ceo / Doctor |
| Phone | 7037198811 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | — | — |
Copy-ready billing details
Provider: Moa Mid-Atlantic LLC NPI: 1073279378 Taxonomy: 152W00000X (Optometrist) Address: 3910 CENTREVILLE RD STE 102, Chantilly, VA, 20151
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1649770173 | Forrest Fisher | Individual | Neurology Chiropractor | Chantilly, VA |
| 1467105569 | Moa Mid-Atlantic Chantilly PC | Organization | Optometrist | Chantilly, VA |
| 1063308682 | Nova Neuro Brain Center | Organization | Neurology Chiropractor | Chantilly, VA |
Verify this record
Cross-check NPI 1073279378 against the authoritative CMS record: view Moa Mid-Atlantic LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Moa Mid-Atlantic LLC?
Who is the authorized official for Moa Mid-Atlantic LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2021-11-10.