Myeyedr Optometry of Virginia, PLLC
Organization Active NPI Optometrist · Woodbridge, VA
NPI 1073400883 · NPPES record last updated Jun 23, 2025
Key facts
- NPI
- 1073400883
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- MYEYEDR OPTOMETRY OF VIRGINIA, PLLC
- Practice address
- 14465 Potomac Mills Rd
Woodbridge, VA 22192-6807 - Phone
- (703) 494-6184
- Fax
- (703) 499-9744
- NPI assigned
- Jun 23, 2025
- Organization subpart
- No
Authorized official
- Name
- Sue Downes
- Title
- Secretary
- Phone
- (703) 847-8899
Corporate family (same tax ID) 13
Practitioners 2
-
Sofia Naz Ahmad, O.D.
-
Eric Goulston, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140828001354 | VA | Part B Supplier - Clinic/Group Practice | 0143448456 |
Receives reassigned benefits from 329 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Myeyedr
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
14465 Potomac Mills Rd
Woodbridge, VA 22192-6807
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names
- MyEyeDr.
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.