Carissa Lee Novotny, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002464 Issued in VA

Practice address

625 Warrenton Rd Ste 105
Fredericksburg, VA 22406-7000

Phone

(540) 374-1445

NPI assigned

Jun 26, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Optometry

Education

Southern College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greloch Eyecare LLCGroup PAC ID 3072926336, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cnovotny@refocus.intellechartdirect.net

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.

• Greloch Eyecare, LLC

  • Optometrist
  • East Hartford, CT
  • NPI 1649879164
  Medicare reassignment Care Compare group NPD
• Vista Eye Care, PLC

  • Ophthalmology Physician
  • Green Valley, AZ
  • NPI 1225241961

  Optometrist

  NPD
• Advanced Vision and Achievement Centers Inc

  • Optometrist
  • Phoenix, AZ
  • NPI 1558553123
  NPD (past)
• Catalina Eye Care PC

  • Eyewear Supplier
  • Tucson, AZ
  • NPI 1134427164
  NPD (past)
• Grayhawk Eye Center

  • Preferred Provider Organization
  • Scottsdale, AZ
  • NPI 1851572069
  NPD (past)
• Northwest Valley Eye Care, LLC

  • Optometrist
  • Sun City, AZ
  • NPI 1669662789
  NPD (past)
• Scottsdale Eye Physicians & Surgeons PC

  • Ophthalmology Physician
  • Scottsdale, AZ
  • NPI 1598750713
  NPD (past)

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1013145143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 WARRENTON RD STE 105",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224067000",
            "telephone_number": "540-374-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 WARRENTON RD STE 105",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224067000",
            "telephone_number": "540-374-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOTNY",
        "first_name": "CARISSA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northpoint Behavioral Health
• Northstar Psychiatry Services
• April Michele Norwood, LMT
• Tarik Noureldeen, M.D.
• Madison Leigh Novice, MD
• NRS Staffing LLC
• NSM Enterprises, Inc
• Ngunkeng Nchindia Ntonghanwah, RN
• Athanasios Ntounis, DDS,MS
• Shahd Nuri

• Optometrist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.