FS Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001162 Issued in VA

Legal business name

FS OPTOMETRY LLC

Practice address

44075 Pipeline PLZ
Suite 205
Ashburn, VA 20147-5881

Phone

(703) 724-9948

Fax

(703) 724-9949

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stephen W Hinkle, O.D.NPI 1336160886

Title

Managing Optometrist

Phone

(703) 724-9948

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ashburn Vision Source Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

FS Optometry LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• FS Optometry LLC

  • Point of Service
  • Ashburn, VA
  • NPI 1053799429
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen W Hinkle, O.D.

  • Optometrist
  • Ashburn, VA
  • NPI 1336160886
  Medicare reassignment Care Compare group NPD Authorized official
• Alicia Boyles, O.D.

  • Optometrist
  • Ashburn, VA
  • NPI 1639405194
  Medicare reassignment Care Compare group NPD
• Aundrea Howell

  • Optometrist
  • Lynchburg, VA
  • NPI 1790166098
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1104848050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44075 PIPELINE PLZ",
            "address_2": "SUITE 205",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475881",
            "telephone_number": "703-724-9948",
            "fax_number": "703-724-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44075 PIPELINE PLZ",
            "address_2": "SUITE 205",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475881",
            "telephone_number": "703-724-9948",
            "fax_number": "703-724-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FS OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HINKLE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGING OPTOMETRIST",
        "authorized_official_telephone_number": "703-724-9948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0618001162",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashburn Vision Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne Childs Freeman, MSW, LCSW, ACM
• Jon Fremd, P.T.
• Caitlyn Friday, DPT
• Friends & Family Dentistry PLLC
• FS Optometry LLC
• Elizabeth R Fudge-Morse, FNP
• Kristin L Fuller, PA-C
• Peti Victoria Gallardo
• Luis Gilmer Gallegos Medina, SA-C
• Trudy Gambrel, RPH

• Optometrist in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.