Active NPI
Summer Dawn Hartley, LICENSED OPTICIAN
- Optician
- Winchester, VA
National Provider Identifier
1053286989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1101003307
- Practice address
- 161 Country Squire LN
Winchester, VA 22603-2475 - Phone
- (540) 877-6141
- NPI assigned
- Oct 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1101003307 | VA | Primary |
Addresses
Primary practice location
161 Country Squire LN
Winchester, VA 22603-2475
Mailing address
161 Country Squire LN
Winchester, VA 22603-2475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1101003307 | VA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1053286989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 COUNTRY SQUIRE LN",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226032475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 COUNTRY SQUIRE LN",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226032475",
"telephone_number": "540-877-6141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTLEY",
"first_name": "SUMMER",
"middle_name": "DAWN",
"credential": "LICENSED OPTICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-09",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "VA",
"license": "1101003307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.