Active NPI
Michelle Moinifar, O.D.
- Optometrist
- Sterling, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618003351
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
- 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
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| OP1000274 | DC | MD | Optometrist |
| 0618003351 | VA | MD | Optometrist |
| 14818 | CA | MD | Occupational Therapist |
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
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.
-
- Optometrist
- Ashburn, VA
- NPI 1174933691
-
- Optometrist
- Sterling, VA
- NPI 1699956136
-
- Optometrist
- MC Lean, VA
- NPI 1306529508
-
- Optometrist
- Dulles, VA
- NPI 1912382706
-
- Optometrist
- North Chesterfield, VA
- NPI 1932075983
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.