Individual provider Active NPI

Deena Tailor, OD

  • Optometrist
  • Sterling, VA
National Provider Identifier
1104356815
Registry record updated Jun 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002579 Issued in VA
Practice address
21475 Ridgetop Cir Ste 300
Sterling, VA 20166-8580
Phone
(703) 430-4400
NPI assigned
Jun 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X 0618002579 VA
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 0618002579 VA Primary

Addresses

Primary practice location

21475 Ridgetop Cir Ste 300
Sterling, VA 20166-8580

Mailing address

7310 17TH Ave
Hyattsville, MD 20783-4327

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
I20170822000820 DC Practitioner - Optometry 1456623743 Reassigns benefits to 2 organizations
I20170918001718 VA Practitioner - Optometry 1456623743 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dulles Eye Associates, P.C.Group PAC ID 9638067150, 21 clinicians

Practice addresses (Care Compare)

8316 Arlington Blvd
Fairfax, VA 22031-5216
Phone (703) 573-8080

8751 Sudley Rd
FL 2
Manassas, VA 20110-8319
Phone (571) 229-1155

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as apm
Quality
85.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Refocus Eye Health of Central Connecticut, P.C. Optometrist Current Accepting new patients
Loudoun Medical Group, PC Single Specialty CurrentSince Jul 10, 2017 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Dec 31, 2021 Accepting new patients
Dulles Eye Associates, P.C. Optometrist CurrentSince Apr 15, 2025 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Current Accepting new patients
Daniel Poth, O.D. and Associates, P.C. Optometrist CurrentSince Aug 31, 2019 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Dec 31, 2021 Accepting new patients
Daniel Poth, O.D. and Associates, P.C. Optometrist CurrentSince Aug 31, 2019 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Dec 31, 2021 Accepting new patients
Dulles Eye Associates, P.C. Single Specialty CurrentSince Apr 15, 2025 Accepting new patients

Locations

1901 N Beauregard St
Ste 100
Alexandria, VA 22311
Phone (703) 931-9100

6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

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

10338 Bristow Center Dr
Bristow, VA 20136
Phone (703) 392-1010

3910 Centreville Rd
Ste 100
Chantilly, VA 20151
Phone (703) 830-6380

8316 Arlington Blvd
Ste 640
Fairfax, VA 22031
Phone (703) 208-0820

8316 Arlington Blvd
Ste 235
Fairfax, VA 22031
Phone (703) 573-8080

5809 Leesburg Pike
Falls Church, VA 22041
Phone (866) 693-9336

709 Pine St
Herndon, VA 20170
Phone (703) 471-7810

19415 Deerfield Ave
Ste 106
Leesburg, VA 20176
Phone (703) 723-5398

44135 Woodridge Pkwy
Ste 100
Leesburg, VA 20176
Phone (703) 858-3170

8751 Sudley Rd
Fl 2
Manassas, VA 20110
Phone (571) 229-1155

11130L South Lakes Dr
Reston, VA 20191
Phone (703) 471-1012

21475 Ridgetop Cir
Ste 300
Sterling, VA 20166
Phone (703) 430-4400

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: dtailor@refocus.intellechartdirect.net

Organizations & group practices 12

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1104356815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 17TH AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207834327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21475 RIDGETOP CIR STE 300",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201668580",
            "telephone_number": "703-430-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAILOR",
        "first_name": "DEENA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "VA",
            "license": "0618002579",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

Verify at the official NPI Registry.