Individual provider Active NPI

Houriya Mahboobi, O.D.

  • Optometrist
  • Sterling, VA
National Provider Identifier
1013323500
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002324 Issued in VA
Practice address
21475 Ridgetop Circle Suite 300
Sterling, VA 20166-8580
Phone
(703) 430-4400
Fax
(703) 430-4130
NPI assigned
Jul 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002324 VA Primary

Addresses

Primary practice location

21475 Ridgetop Circle Suite 300
Sterling, VA 20166-8580

Mailing address

224 D Cornwall Street NW
Ste 403
Leesburg, VA 20176-2704
Phone (703) 737-6010

Other identifiers 2

IdentifierTypeStateIssuer
1013323500MedicaidVA
30016081110001MedicaidVA

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
I20150728004691 DC Practitioner - Optometry 2062726557 Reassigns benefits to 2 organizations
I20150924002217 VA Practitioner - Optometry 2062726557 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dulles Eye Associates, P.C.Group PAC ID 9638067150, 21 clinicians

Practice addresses (Care Compare)

21475 Ridgetop Cir
Suite 300
Sterling, VA 20166-8580
Phone (703) 430-4400

8316 Arlington Blvd
Fairfax, VA 22031-5216
Phone (703) 573-8080

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as apm
Quality
85.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dulles Eye Associates, P.C. CurrentSince Apr 15, 2025 Accepting new patients
Loudoun Medical Group, PC CurrentSince Aug 1, 2015 Accepting new patients
Loudoun Medical Group, PC CurrentSince Aug 1, 2015 Accepting new patients
Loudoun Medical Group, PC CurrentSince Aug 1, 2015 Accepting new patients
Dulles Eye Associates, P.C. Optometrist CurrentSince Apr 15, 2025 Accepting new patients
Refocus Eye Health of Central Connecticut, P.C. Optometrist Current Accepting new patients

Locations

1901 N Beauregard St
Ste 100
Alexandria, VA 22311
Phone (703) 931-9100

6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

8316 Arlington Blvd
Ste 640
Fairfax, VA 22031
Phone (703) 208-0820

8316 Arlington Blvd
Ste 235
Fairfax, VA 22031
Phone (703) 573-8080

19415 Deerfield Ave
Ste 106
Leesburg, VA 20176
Phone (703) 723-5398

44135 Woodridge Pkwy
Ste 100
Leesburg, VA 20176
Phone (703) 858-3170

224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001

44055 Riverside Pkwy
#20811302
Leesburg, VA 20176
Phone (703) 729-7652

8751 Sudley Rd
Fl 2
Manassas, VA 20110
Phone (571) 229-1155

21475 Ridgetop Cir
Ste 300
Sterling, VA 20166
Phone (703) 430-4400

Interoperability endpoints

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

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1013323500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 D CORNWALL STREET NW",
            "address_2": "STE 403",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-737-6010",
            "fax_number": "703-443-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21475 RIDGETOP CIRCLE SUITE 300",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201668580",
            "telephone_number": "703-430-4400",
            "fax_number": "703-430-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHBOOBI",
        "first_name": "HOURIYA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013323500",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30016081110001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

Verify at the official NPI Registry.