Moa Mid-Atlantic Chantilly PC

Moa Mid-Atlantic Chantilly PC is a healthcare organization registered as Optometrist in Chantilly, VA, holding Type 2 (organization) NPI 1467105569 since 2022. The authorized official on file is Robert Allen, Ceo.

✓ Active NPI ✓ Valid NPI checksum

NPI	1467105569
Entity type	Organization (Type 2)
Legal business name	Moa Mid-Atlantic Chantilly PC
Practice address	3910 CENTREVILLE RD STE 102, Chantilly, VA, 20151
Phone	7038306380
Enumeration date	2022-01-28
Last updated in NPPES	2022-01-28

Authorized official

Name	Robert Allen
Title	Ceo
Phone	7038306380

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
152W00000X	Optometrist	Primary	—	—

Copy-ready billing details

Provider: Moa Mid-Atlantic Chantilly PC
NPI: 1467105569
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
1073279378	Moa Mid-Atlantic LLC	Organization	Optometrist	Chantilly, VA
1063308682	Nova Neuro Brain Center	Organization	Neurology Chiropractor	Chantilly, VA

Verify this record

Cross-check NPI 1467105569 against the authoritative CMS record: view Moa Mid-Atlantic Chantilly PC 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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-01-28. Verify at npiregistry.cms.hhs.gov.

Where is Moa Mid-Atlantic Chantilly PC located?

The practice location on file with NPPES is in Chantilly, VA.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-01-28.