Active NPI
Virginia Elizabeth Reed, OD
- Optometrist
- Waldorf, MD
National Provider Identifier
1093853343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA0831
- Practice address
- 1238 Smallwood Drive West
St Charles Town Plaza
Waldorf, MD 20603 - Phone
- (301) 932-4390
- Fax
- (301) 932-8660
- NPI assigned
- Feb 1, 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 | TA0831 | MD | Primary |
Addresses
Primary practice location
1238 Smallwood Drive West
St Charles Town Plaza
Waldorf, MD 20603
Mailing address
1238 Smallwood Drive West
St Charles Town Plaza
Waldorf, MD 20603
Phone (301) 932-4390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 831 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093853343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1238 SMALLWOOD DRIVE WEST",
"address_2": "ST CHARLES TOWN PLAZA",
"city": "WALDORF",
"state": "MD",
"postal_code": "20603",
"telephone_number": "301-932-4390",
"fax_number": "301-932-8660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1238 SMALLWOOD DRIVE WEST",
"address_2": "ST CHARLES TOWN PLAZA",
"city": "WALDORF",
"state": "MD",
"postal_code": "20603",
"telephone_number": "301-932-4390",
"fax_number": "301-932-8660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "VIRGINIA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA0831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.