Individual provider Active NPI

Rayanne Elise Passarelli, OD

  • Optometrist
  • Reston, VA
National Provider Identifier
1043053606
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003424 Issued in VA
Practice address
11656 Plaza America Dr
Reston, VA 20190-4700
Phone
(703) 467-9080
NPI assigned
Jun 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 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 0618003424 VA Primary

Addresses

Primary practice location

11656 Plaza America Dr
Reston, VA 20190-4700

Mailing address

11656 Plaza America Dr
Reston, VA 20190-4700

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
I20240622000304 DC Practitioner - Optometry 2062955743 Reassigns benefits to 1 organization
I20250221001919 VA Practitioner - Optometry 2062955743 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Drexel University College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Virginia Doctors of OptometryGroup PAC ID 1759301765, 21 clinicians
Valley Physician Enterprise IncGroup PAC ID 9931268091, 176 clinicians

Practice addresses (Care Compare)

11656 Plaza America Dr
Reston, VA 20190-4700
Phone (703) 467-9080

190 Campus Blvd
Suite 210
Winchester, VA 22601-2872
Phone (540) 536-5820

3 /2 E Main St
Berryville, VA 22611-1337
Phone (540) 955-5051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Doctors of Optometry Optometrist CurrentSince Jun 17, 2024 Accepting new patients
Sonus-USA, Inc. Past Accepting new patients

Locations

3 E Main St
Berryville, VA 22611
Phone (540) 955-5051

7263E Arlington Blvd
Falls Church, VA 22042
Phone (703) 467-9080

7249 Arlington Blvd
Falls Church, VA 22042
Phone (703) 573-1200

11656 Plaza America Dr
Reston, VA 20190
Phone (703) 467-0359

Organizations & group practices 3

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": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1043053606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11656 PLAZA AMERICA DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11656 PLAZA AMERICA DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904700",
            "telephone_number": "703-467-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSARELLI",
        "first_name": "RAYANNE",
        "middle_name": "ELISE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.