Individual provider Active NPI

Norlando Conanan, O.D.

  • Optometrist
  • Alexandria, VA
National Provider Identifier
1013133404
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001120 Issued in VA
Practice address
6307D Richmond Hwy
Alexandria, VA 22306-6410
Phone
(703) 269-9878
Fax
(703) 269-9874
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001120 VA Primary

Addresses

Primary practice location

6307D Richmond Hwy
Alexandria, VA 22306-6410

Mailing address

1950 Old Gallows Rd Ste 250
Vienna, VA 22182-3990
Phone (703) 847-8899

Other practice location 1

5801 Duke St Ste C236
Alexandria, VA 22304-3255
Phone (703) 256-5910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151228000213 DC Practitioner - Optometry 0042511610 Reassigns benefits to 1 organization
I20160523001269 VA Practitioner - Optometry 0042511610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Virginia, PLLCGroup PAC ID 0143448456, 133 clinicians

Practice addresses (Care Compare)

5809 Leesburg Pike
Falls Church, VA 22041-2301
Phone (866) 693-9336

8369 Leesburg Pike a
Vienna, VA 22182-2421
Phone (703) 506-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001120VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Apr 10, 2016 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jan 16, 2017 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Apr 10, 2016 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients

Locations

6307 Richmond Hwy
Ste D
Alexandria, VA 22306
Phone (703) 269-9878

4555 Duke St
Alexandria, VA 22304
Phone (703) 370-7111

2823 Clarendon Blvd
Arlington, VA 22201
Phone (703) 294-6600

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

5765 Burke Centre Pkwy
Ste L
Burke, VA 22015
Phone (703) 250-2000

7511 Leesburg Pike
Ste 101B
Falls Church, VA 22043
Phone (703) 942-5300

5809 Leesburg Pike
Falls Church, VA 22041
Phone (866) 693-9336

9419 Lorton Market St
Lorton, VA 22079
Phone (703) 339-9833

9930 Sowder Village Sq
Ste 220
Manassas, VA 20109
Phone (703) 368-2121

1841 Fountain Dr
Reston, VA 20190
Phone (703) 264-2020

6406 Springfield Plz
Springfield, VA 22150
Phone (703) 451-4577

1515 Stafford Market Pl
Ste 121
Stafford, VA 22556
Phone (540) 657-2020

401 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5544

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

8369 Leesburg Pike
Ste A
Vienna, VA 22182
Phone (703) 506-0000

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

14465 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 494-6184

Networks

  • KY PPO C-SNP
  • KY PPO
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Organizations & group practices 5

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1013133404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 250",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823990",
            "telephone_number": "703-847-8899",
            "fax_number": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6307D RICHMOND HWY",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223066410",
            "telephone_number": "703-269-9878",
            "fax_number": "703-269-9874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5801 Duke St Ste C236",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223043255",
            "country_code": "US",
            "telephone_number": "703-256-5910",
            "fax_number": "703-256-1066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONANAN",
        "first_name": "NORLANDO",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.