Individual provider Active NPI

Maggie Puri Sukhwani, OD

  • Optometrist
  • Fairfax, VA
National Provider Identifier
1083929046
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001969 Issued in VA
Practice address
11139 Lee Hwy
Fairfax, VA 22030-5004
Phone
(703) 670-1030
NPI assigned
Aug 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001969 VA Primary

Addresses

Primary practice location

11139 Lee Hwy
Fairfax, VA 22030-5004

Mailing address

11139 Lee Hwy
Fairfax, VA 22030-5004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211222000988 DC Practitioner - Optometry 8729479076 Reassigns benefits to 1 organization
I20220125000665 VA Practitioner - Optometry 8729479076 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001969VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sightrite Medical VA PLLC Optometrist CurrentSince Dec 1, 2021 Accepting new patients
America'S Best Contacts & Eyeglasses Past Accepting new patients

Locations

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

10701 Main St
Fairfax, VA 22030
Phone (703) 273-7705

1776 Cambridge Dr
Richmond, VA 23238
Phone (804) 368-6474

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1083929046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11139 LEE HWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11139 LEE HWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305004",
            "telephone_number": "703-670-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKHWANI",
        "first_name": "MAGGIE",
        "middle_name": "PURI",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-15",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.