Ballston Optometry, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BALLSTON OPTOMETRY, LLC

Doing business as

My Eye Dr.

Practice address

4121 Wilson Blvd Ste 100
Arlington, VA 22203-4143

Phone

(703) 525-7474

Fax

(703) 525-4108

NPI assigned

Dec 27, 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 A Healey

Title

Secretary

Phone

(703) 847-9393

Specialties & licenses 1

Addresses

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.

• Frederick Siegel, OD

  • Optometrist
  • Vienna, VA
  • NPI 1285677997
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1083779094",
    "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": "4121 WILSON BLVD STE 100",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222034143",
            "telephone_number": "703-525-7474",
            "fax_number": "703-525-4108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 N Stuart St",
            "address_2": "Ste. 210",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222031821",
            "country_code": "US",
            "telephone_number": "703-525-7474",
            "fax_number": "703-525-4108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALLSTON OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "HEALEY",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-9393"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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"
        }
    ]
}

• Shantelle S Ballard, PHARMACIST
• Katharine Ballew, LCSW
• Lawrence Ballon, M.D.
• Ballston Dental Arts, PLLC
• Ballston Metro Dental
• Ballston Pain and Rehab Center, PC (Nova Pain and Rehab Center)
• Ballston Psychology, PLLC
• Ballston Therapeutic Massage LTD
• Josh Patricia Alba Balmediano, RD
• Monica Alejandra Balvidares, DH

• Optometrist in Arlington, VA
• Providers in Arlington, 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.