Individual provider Active NPI

Lauren Mancinelli, OD

  • Optometrist
  • Alexandria, VA
National Provider Identifier
1003546110
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003116 Issued in VA
Practice address
1632A Belle View Blvd
Alexandria, VA 22307-6531
Phone
(703) 660-9494
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618003116 VA Primary

Addresses

Primary practice location

1632A Belle View Blvd
Alexandria, VA 22307-6531

Mailing address

7263E Arlington Blvd
Falls Church, VA 22042-3219
Phone (703) 573-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220808001392 DC Practitioner - Optometry 9739561796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Virginia Doctors of OptometryGroup PAC ID 1759301765, 21 clinicians

Practice addresses (Care Compare)

11656 Plaza America Dr
Reston, VA 20190-4700
Phone (703) 467-9080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618003116VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Doctors of Optometry Optometrist CurrentSince Jul 6, 2022 Accepting new patients
Sonus-USA, Inc. PastSince Jun 21, 2022 Accepting new patients

Locations

1632A Belle View Blvd
Alexandria, VA 22307
Phone (703) 660-9494

1632 Belle View Blvd
#A
Alexandria, VA 22307

1700 N Moore St
Ste 1150
Arlington, VA 22209
Phone (703) 524-7111

1235 S Clark St
Ste 200
Arlington, VA 22202
Phone (703) 413-1400

7263E Arlington Blvd
Falls Church, VA 22042
Phone (703) 467-9080

7249 Arlington Blvd
Falls Church, VA 22042
Phone (703) 573-1200

11656 Plaza America Dr
Reston, VA 20190
Phone (703) 467-0359

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1003546110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7263E ARLINGTON BLVD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423219",
            "telephone_number": "703-573-1200",
            "fax_number": "703-573-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632A BELLE VIEW BLVD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223076531",
            "telephone_number": "703-660-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINELLI",
        "first_name": "LAUREN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.