Stafford Optometry, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

STAFFORD OPTOMETRY, LLC

Doing business as

My Eye Dr.

Practice address

1515 Stafford Market PL
Ste. 121
Stafford, VA 22556-4531

Phone

(540) 657-2020

Fax

(540) 657-1037

NPI assigned

Dec 29, 2006

Last updated

Apr 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sue Downes

Title

Secretary

Phone

(703) 847-8899

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• My Eye Dr. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael G Kwok, OD

  • Optometrist
  • Fredericksburg, VA
  • NPI 1164506713
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1063578524",
    "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": "1515 STAFFORD MARKET PL",
            "address_2": "STE. 121",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225564531",
            "telephone_number": "540-657-2020",
            "fax_number": "540-657-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "DOWNES",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-8899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "6043200001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Eye Dr.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Eye Dr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stafford Hospital, LLC
• Stafford Internal Medical Services, Inc.
• Stafford Investment Ventures, Inc (Stafford Pharmacy)
• Stafford Massage Center LLC (Stafford Massage and Healing Arts)
• Stafford Neurology
• Stafford Oral Surgery P.C.
• Stafford Pediatrics, P.C.
• Stafford Physical Therapy, Inc.
• Stafford Primary Care Associates, Inc.
• Stafford Surgical, P.C.

• Optometrist in Stafford, VA
• Providers in Stafford, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.