Organization Active NPI

Luxe Eye & Wellness LLC

  • Optometrist
  • Alexandria, VA
National Provider Identifier
1073323671
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LUXE EYE & WELLNESS LLC
Practice address
206 N Washington St Ste 100
Alexandria, VA 22314-2534
Phone
(703) 570-6575
NPI assigned
Jan 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Authorized official

Name
Modje Bahremand Bahremand
Title
OD
Phone
(517) 231-4086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

206 N Washington St Ste 100
Alexandria, VA 22314-2534

Mailing address

206 N Washington St Ste 100
Alexandria, VA 22314-2534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251113002785 DC Part B Supplier - Clinic/Group Practice 7214441401 Receives reassigned benefits from 2 practitioners
Practice locations: Alexandria, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1073323671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N WASHINGTON ST STE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N WASHINGTON ST STE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142534",
            "telephone_number": "703-570-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXE EYE & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "BAHREMAND",
        "authorized_official_first_name": "MODJE BAHREMAND",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "517-231-4086"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.