Individual provider Active NPI

Krystle Ann Bibat Villamayor

  • Optometrist
  • Olney, MD
National Provider Identifier
1043937402
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2883 Issued in MD
Practice address
18111 Town Center Dr
Olney, MD 20832-1479
Phone
(301) 570-1600
NPI assigned
Oct 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X TA2883 MD Primary

Addresses

Primary practice location

18111 Town Center Dr
Olney, MD 20832-1479

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, MD2 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
I20221123000400 DC Practitioner - Optometry 9133597131 Reassigns benefits to 2 organizations
I20221230000633 MD Practitioner - Optometry 9133597131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Maryland LLCGroup PAC ID 6002037629, 121 clinicians

Practice addresses (Care Compare)

18111 Town Ctr Dr
Olney, MD 20832-1479
Phone (301) 570-1600

19814 Century Blvd
Germantown, MD 20874-1198
Phone (301) 540-1200

Merit-based Incentive Payment System (MIPS)

Final score
85.29 of 100Reported as group
Quality
82.7
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2883MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rockville Optometry, LLC Optometrist CurrentSince Nov 1, 2024 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Nov 1, 2024 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Nov 1, 2024 Accepting new patients

Locations

80 Market St
Gaithersburg, MD 20878
Phone (301) 990-1122

19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200

20946 Frederick Rd
Unit A
Germantown, MD 20876
Phone (240) 361-9600

18111 Town Center Dr
Olney, MD 20832
Phone (301) 570-1600

7721 Tuckerman Ln
Potomac, MD 20854
Phone (301) 983-5884

14929 Shady Grove Rd
Unit K
Rockville, MD 20850
Phone (301) 424-1050

1701 Rockville Pike
Ste A4
Rockville, MD 20852
Phone (301) 984-2111

8529 Georgia Ave
Silver Spring, MD 20910
Phone (301) 588-3232

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: krystle.villamayor.p1@direct.katzeneye.nextgenshare.com

Organizations & group practices 10

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": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1043937402",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 TOWN CENTER DR",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321479",
            "telephone_number": "301-570-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAMAYOR",
        "first_name": "KRYSTLE ANN",
        "middle_name": "BIBAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

Verify at the official NPI Registry.