Individual provider Active NPI

Preyaben Patel, OD

  • Optometrist
  • Reston, VA
National Provider Identifier
1104206465
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003138 Issued in PA
Practice address
1841 Fountain Dr
Reston, VA 20190-3326
Phone
(703) 264-2020
NPI assigned
Jun 2, 2015
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002412 VA
Optometrist 152W00000X OEG003138 PA Primary

Addresses

Primary practice location

1841 Fountain Dr
Reston, VA 20190-3326

Mailing address

1950 Old Gallows Rd 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

10640 Main St Ste 100
Fairfax, VA 22030-3930
Phone (703) 691-2020

Other practice location 2

854 Plaza Blvd
Lancaster, PA 17601-2738
Phone (717) 295-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, PA, VA, MD4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20150930001199 DC Practitioner - Optometry 0244548972 Reassigns benefits to 3 organizations
I20220404000090 PA Practitioner - Optometry 0244548972 Reassigns benefits to 3 organizations
I20241223001472 VA Practitioner - Optometry 0244548972 Reassigns benefits to 2 organizations
I20250411001319 MD Practitioner - Optometry 0244548972 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002412VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Dec 23, 2021 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Dec 23, 2025 Accepting new patients
Rockville Optometry, LLC Optometrist CurrentSince Dec 23, 2025 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Visionworks, Inc CurrentSince Dec 23, 2021 Accepting new patients
Dulles Optometry, LLC Optometrist CurrentSince Nov 19, 2024 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Current Accepting new patients
Empire Vision Center, Inc CurrentSince Dec 23, 2021 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Dec 23, 2021 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Nov 19, 2024 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Nov 19, 2024 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Eye Street Optometry, PLLC Optometrist PastSince Aug 17, 2015 Accepting new patients
Michael J. Bermel, O.D., P.C. Optometrist PastSince Oct 15, 2025 Accepting new patients

Locations (25 of 48)

6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206

6804 Race Track Rd
Bowie, MD 20715
Phone (301) 262-1210

19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200

14700 Baltimore Ave
Unit 109
Laurel, MD 20707
Phone (301) 245-3903

14929 Shady Grove Rd
Unit K
Rockville, MD 20850
Phone (301) 424-1050

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

3401 Hartzdale Dr
Camp Hill, PA 17011
Phone (717) 542-0569

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780

854 Plaza Blvd
Lancaster, PA 17601
Phone (717) 295-3111

2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760

1555 Highlands Dr
Ste 180
Lititz, PA 17543
Phone (717) 625-4600

2842 S Eagle Rd
Newtown, PA 18940
Phone (215) 579-1155

49 S 2nd St
Oxford, PA 19363
Phone (610) 932-9356

923 Paoli Pike
West Chester, PA 19380
Phone (610) 692-8300

2823 Clarendon Blvd
Arlington, VA 22201
Phone (703) 294-6600

4121 Wilson Blvd
Ste 100
Arlington, VA 22203
Phone (703) 525-7474

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

5765 Burke Centre Pkwy
Ste L
Burke, VA 22015
Phone (703) 250-2000

14337 Newbrook Dr
Ste 400
Chantilly, VA 20151
Phone (571) 512-5990

3910 Centreville Rd
Ste 100
Chantilly, VA 20151
Phone (703) 830-6377

2159 Barracks Rd
Charlottesvle, VA 22903
Phone (434) 944-2020

4300 Portsmouth Blvd
Ste 180
Chesapeake, VA 23321
Phone (757) 465-5555

2910 District Ave
Ste 160
Fairfax, VA 22031
Phone (703) 269-9866

4203 Fairfax Corner Ave E
Fairfax, VA 22030
Phone (703) 266-8400

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1104206465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "703-991-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 FOUNTAIN DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903326",
            "telephone_number": "703-264-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10640 Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220303930",
            "country_code": "US",
            "telephone_number": "703-691-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "854 Plaza Blvd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012738",
            "country_code": "US",
            "telephone_number": "717-295-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PREYABEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002412",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.