Tina Douroudian, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

618002797 Issued in VA

Practice address

1047 Edwards Ferry Rd NE
Leesburg, VA 20176-3347

Phone

(703) 737-7798

Fax

(703) 737-7889

NPI assigned

Jul 8, 2013

Last updated

Nov 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Arlington Loudoun Pediatric Ophthalmology PLLCGroup PAC ID 3577612258, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Arlington Loudoun Pediatric Ophthalmology PLLC

  • Ophthalmology Physician
  • Sterling, VA
  • NPI 1366688160

  DC

  Medicare reassignment Care Compare group NPD
• Dulles Optometry, LLC

  dba My Eye Dr

  • Optometrist
  • Sterling, VA
  • NPI 1699956136
  Medicare reassignment NPD
• Myeyedr Optometry of Virginia PLLC

  dba MyEyeDr

  • Optometrist
  • Ashburn, VA
  • NPI 1174933691
  Medicare reassignment NPD
• Myeyedr Optometry of Virginia, PLLC

  dba MyEyeDr.

  • Optometrist
  • Winchester, VA
  • NPI 1306294145
  NPD
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • North Chesterfield, VA
  • NPI 1932075983
  NPD
• Spectrum Retina & Ocular Oncology, PLLC

  • Retina Specialist (Ophthalmology) Physician
  • McLean, VA
  • NPI 1487236626
  NPD
• Primary Eye Care Optometry, LLP

  • Corneal and Contact Management Optometrist
  • New York, NY
  • NPI 1700323136
  NPD (past)
• Tribeca 2020 Vision Corp

  • Optometrist
  • New York, NY
  • NPI 1720390925
  NPD (past)

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1154762144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 EDWARDS FERRY RD NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763347",
            "telephone_number": "703-737-7798",
            "fax_number": "703-737-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUROUDIAN",
        "first_name": "TINA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007989",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "618002797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Anne Donahue
• Rebecca Leigh Doody, PA-C
• Rachelle Dorne, OTR
• Mary Robert Dorsey-Lee, RPH
• Douglas Herbert, D.D.S., LTD.
• Samantha Dowd, DNP, FNP-BC
• Erica C Dowell
• Dr Karen Larson & Associates, LLC
• Dr. Deidra B Kokel DDS PC
• Dr. Patrick Fleming PLLC Allegany Optometry (Allegany Optometry)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.

Verify at the official NPI Registry.