Organization Active NPI

Myeyedr Optometry of Virginia, PPLC

Doing business as MyEyeDr.

  • Optometrist
  • Fredericksburg, VA
National Provider Identifier
1164890901
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MYEYEDR OPTOMETRY OF VIRGINIA, PPLC
Doing business as
MyEyeDr.
Practice address
10225 Patriot Hwy
Fredericksburg, VA 22407-9455
Phone
(540) 891-2020
Fax
(540) 898-5002
NPI assigned
Sep 10, 2015
Last updated
Oct 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Sue Downes
Title
Secretary
Phone
(703) 847-8899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

10225 Patriot Hwy
Fredericksburg, VA 22407-9455

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

5426 Patriot Hwy Ste 104
Fredericksburg, VA 22407-2616
Phone (540) 891-2020

Other names 1

  • MyEyeDr. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140828001354 VA Part B Supplier - Clinic/Group Practice 0143448456 Receives reassigned benefits from 329 practitioners
This NPI is an additional NPI on the enrollment

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2323852Myeyedr Optometry of Virginia PLLC10225 Patriot Hwy, Fredericksburg, VA 22407Certificate of waiverMay 13, 2027

National Provider Directory

National Provider Directory

Locations

213 Connor Dr
Charlottesville, VA 22911
Phone (434) 975-2020

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

10225 Patriot Hwy
Fredericksburg, VA 22407
Phone (540) 891-2020

5426 Patriot Hwy
#104
Fredericksburg, VA 22407
Phone (540) 891-2020

3524 W Cary St
Richmond, VA 23221
Phone (804) 750-7113

129 E Ferrell St
South Hill, VA 23970
Phone (434) 447-3220

2028 S Pleasant Valley Rd
Winchester, VA 22601
Phone (540) 722-3217

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1164890901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 PATRIOT HWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079455",
            "telephone_number": "540-891-2020",
            "fax_number": "540-898-5002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5426 Patriot Hwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224072616",
            "country_code": "US",
            "telephone_number": "540-891-2020",
            "fax_number": "540-898-5002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MYEYEDR OPTOMETRY OF VIRGINIA, PPLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "DOWNES",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-8899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyEyeDr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.