Active NPI
Ruby Arthur, OD
- Optometrist
- Herndon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618001318
- Practice address
- 2501 Centreville Rd # 012
Herndon, VA 20171-5009 - Phone
- (703) 471-1012
- Fax
- (703) 793-6128
- NPI assigned
- Nov 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618001318 | VA | Primary |
Addresses
Primary practice location
2501 Centreville Rd # 012
Herndon, VA 20171-5009
Mailing address
11103 West Ave
Suite 6
San Antonio, TX 78213-1370
Phone (210) 524-6509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618001318 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Daniel Poth, O.D. and Associates, P.C. | Optometrist | Past | Accepting new patients |
| Daniel Poth, O.D. and Associates, P.C. | Optometrist | Past | Accepting new patients |
| Visionworks Inc. | Past | Accepting new patients |
Locations
169 Jennifer Rd
Ste D
Annapolis, MD 21401
Phone (410) 224-0021
15431 Emerald Way
Bowie, MD 20716
Phone (301) 805-6132
631 N Frederick Ave
Gaithersburg, MD 20879
Phone (301) 330-4927
11110 Mall Cir
Waldorf, MD 20603
Phone (301) 705-8383
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Visionworks Doctors of Optometry
- Eyewear Supplier
- Falls Church, VA
- NPI 1003998857
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073692869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11103 WEST AVE",
"address_2": "SUITE 6",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782131370",
"telephone_number": "210-524-6509",
"fax_number": "210-524-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 CENTREVILLE RD # 012",
"city": "HERNDON",
"state": "VA",
"postal_code": "201715009",
"telephone_number": "703-471-1012",
"fax_number": "703-793-6128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARTHUR",
"first_name": "RUBY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.