Active NPI
Sophie Ali, O.D.
- Optometrist
- Alexandria, VA
National Provider Identifier
1154634525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618001962
- Practice address
- 4660 Kenmore Ave Ste 416
Alexandria, VA 22304-1306 - Phone
- (703) 751-0700
- Fax
- (703) 751-2020
- NPI assigned
- Jul 14, 2010
- Last updated
- Jul 27, 2020
- 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 | 0618001962 | VA | Primary |
Addresses
Primary practice location
4660 Kenmore Ave Ste 416
Alexandria, VA 22304-1306
Mailing address
4660 Kenmore Ave
Suite 416
Alexandria, VA 22304-1313
Phone (703) 751-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.53 of 100
- Quality
- 93.89
- Improvement activities
- 40
- Cost
- 76.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618001962 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Huberman M.D. & Alan J. Pollack M.D., LTD. | Current | Accepting new patients |
Locations
4660 Kenmore Ave
Ste 416
Alexandria, VA 22304
Phone (703) 620-4300
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Alexandria, VA
- NPI 1629165873
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1154634525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4660 KENMORE AVE",
"address_2": "SUITE 416",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041313",
"telephone_number": "703-751-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 KENMORE AVE STE 416",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041306",
"telephone_number": "703-751-0700",
"fax_number": "703-751-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "SOPHIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-14",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.