Active NPI
Gregory Katchuk, OD
- Optometrist
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA-1679
- Practice address
- 4300 East West Highway
Bethesda, MD 20814 - Phone
- (301) 656-0775
- Fax
- (301) 656-5164
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618001165 | VA | |
| Optometrist | 152W00000X | TA-1679 | MD | Primary |
Addresses
Primary practice location
4300 East West Highway
Bethesda, MD 20814
Mailing address
1950 Old Gallows Rd 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4300 E W Hwy
Bethesda, MD 20814-4433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA-1679 | MD | MD | Optometrist |
| 0618001165 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Virginia PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
| Dulles Optometry, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
Locations
2823 Clarendon Blvd
Arlington, VA 22201
Phone (703) 294-6600
1211 S Fern St
Arlington, VA 22202
Phone (703) 888-2999
44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600
5765 Burke Centre Pkwy
Ste L
Burke, VA 22015
Phone (703) 250-2000
14245P Centreville Sq
Centreville, VA 20121
Phone (703) 830-2010
2910 District Ave
Ste 160
Fairfax, VA 22031
Phone (703) 269-9866
5809 Leesburg Pike
Falls Church, VA 22041
Phone (866) 693-9336
7367 Atlas Walk Way
Gainesville, VA 20155
Phone (703) 753-7200
617 Potomac Station Dr NE
#A
Leesburg, VA 20176
Phone (703) 669-4646
9930 Sowder Village Sq
Ste 220
Manassas, VA 20109
Phone (703) 368-2121
9675 Liberia Ave
Ste 108
Manassas, VA 20110
Phone (703) 331-2122
1841 Fountain Dr
Reston, VA 20190
Phone (703) 264-2020
22000 Dulles Retail Plz
Ste 168
Sterling, VA 20166
Phone (703) 421-3322
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
401 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5544
1950 Old Gallows Rd
Ste 100
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
14465 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 494-6184
Organizations & group practices 6
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.
-
- Optometrist
- Sterling, VA
- NPI 1699956136
-
- Optometrist
- Ashburn, VA
- NPI 1174933691
-
- Optometrist
- Alexandria, VA
- NPI 1194287961
-
- Optometrist
- Charlottesville, VA
- NPI 1568869998
-
- Optometrist
- North Chesterfield, VA
- NPI 1932075983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436918400000",
"number": "1023190030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899",
"fax_number": "703-991-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 EAST WEST HIGHWAY",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20814",
"telephone_number": "301-656-0775",
"fax_number": "301-656-5164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATCHUK",
"first_name": "GREGORY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2015-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001165",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA-1679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.