Individual provider Active NPI

Michelle Moinifar, O.D.

  • Optometrist
  • Sterling, VA
National Provider Identifier
1023430477
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003351 Issued in VA
Practice address
24570 Dulles Landing Dr Unit 170
Sterling, VA 20166-2623
Phone
(571) 367-7610
Fax
(571) 367-7620
NPI assigned
Jan 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14818 CA
Optometrist 152W00000X OP1000274 DC
Optometrist 152W00000X 0618003351 VA Primary

Addresses

Primary practice location

24570 Dulles Landing Dr Unit 170
Sterling, VA 20166-2623

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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
I20240322000898 DC Practitioner - Optometry 4082051305 Reassigns benefits to 1 organization
I20240402000283 VA Practitioner - Optometry 4082051305 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
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)

44727 Brimfield Dr
Ashburn, VA 20147-5920
Phone (571) 385-4600

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

709 Pine St
Herndon, VA 20170-4604
Phone (703) 471-7810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP1000274DCMDOptometrist
0618003351VAMDOptometrist
14818CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Mar 1, 2024 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Current Accepting new patients
Dulles Optometry, LLC Optometrist CurrentSince Mar 1, 2024 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Mar 1, 2024 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Mar 1, 2024 Accepting new patients

Locations

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

44050 Ashburn Shopping Plz
Ste 163
Ashburn, VA 20147
Phone (703) 726-0005

14245P Centreville Sq
Centreville, VA 20121
Phone (703) 830-2010

14337 Newbrook Dr
Ste 400
Chantilly, VA 20151
Phone (571) 512-5990

3910 Centreville Rd
Ste 100
Chantilly, VA 20151
Phone (703) 830-6380

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

13320 Franklin Farm Rd
Ste H
Herndon, VA 20171
Phone (703) 481-5600

709 Pine St
Herndon, VA 20170
Phone (703) 471-7810

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

22000 Dulles Retail Plz
Ste 168
Sterling, VA 20166
Phone (703) 421-3322

24570 Dulles Landing Dr
Unit 170
Sterling, VA 20166
Phone (571) 367-7610

42015 Village Center Plz
Ste 103
Stone Ridge, VA 20105
Phone (703) 542-8888

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

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.

NPI Registry JSON

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

{
    "created_epoch": "1390003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1023430477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24570 DULLES LANDING DR UNIT 170",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201662623",
            "telephone_number": "571-367-7610",
            "fax_number": "571-367-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOINIFAR",
        "first_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-18",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14818",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP1000274",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

Verify at the official NPI Registry.