Individual provider Active NPI

Maya Murray, OD

  • Optometrist
  • Fairfax, VA
National Provider Identifier
1053045377
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003152 Issued in VA
Practice address
10690 Fairfax Blvd
Fairfax, VA 22030-4321
Phone
(703) 273-6323
NPI assigned
Jul 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00713200 NJ
Optometrist 152W00000X 009538 NY
Optometrist 152W00000X 0618003152 VA Primary

Addresses

Primary practice location

10690 Fairfax Blvd
Fairfax, VA 22030-4321

Mailing address

125 S Harrison St Apt 3a
East Orange, NJ 07018-1605
Phone (908) 448-7547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20221010000827 VA Practitioner - Optometry 1456737857 Reassigns benefits to 1 organization
I20221026000310 DC Practitioner - Optometry 1456737857 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

Practice addresses (Care Compare)

9131 Piscataway Rd
Clinton, MD 20735-2559

Merit-based Incentive Payment System (MIPS)

Final score
93.26 of 100Reported as group
Quality
98.68
Improvement activities
40
Cost
79.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00713200NJMDOptometrist
009538NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodbridge Optometrists, Inc Optometrist CurrentSince Aug 1, 2022 Accepting new patients
Telahun, Shrader & Rivera, MD CurrentSince Dec 26, 2023 Accepting new patients
Visual Health Doctors of Optometry Optometrist Past Accepting new patients
Lori P. Alexander, MSPT, LLC PastSince Nov 29, 2011 Accepting new patients
Michigan Glaucoma & Cataract, P.C. PastSince Dec 26, 2023 Accepting new patients

Locations

9131 Piscataway Rd
Ste 450
Clinton, MD 20735
Phone (301) 868-6700

127 N Washington St
Ste A
Alexandria, VA 22314
Phone (301) 868-6700

14901 Potomac Town Pl
Ste 120
Woodbridge, VA 22191
Phone (703) 278-3002

Interoperability endpoints

  • Direct secure messaging: mmurray@gmeps.intellechartdirect.net

Organizations & group practices 5

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": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1053045377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S HARRISON ST APT 3A",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181605",
            "telephone_number": "908-448-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10690 FAIRFAX BLVD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304321",
            "telephone_number": "703-273-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "MAYA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00713200",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009538",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.