Active NPI
Myeyedr Optometry of Virginia, PPLC
Doing business as MyEyeDr.
- Optometrist
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2323852 | Myeyedr Optometry of Virginia PLLC | Certificate of waiver | May 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Fredericksburg, VA
- NPI 1285678722
-
- Optometrist
- Stafford, VA
- NPI 1881153278
-
- Optometrist
- Fredericksburg, VA
- NPI 1487121232
-
- Optometrist
- Richmond, VA
- NPI 1780117572
-
- Optometrist
- Woodbridge, VA
- NPI 1235187329
-
- Optometrist
- Stafford, VA
- NPI 1750140554
-
- Optometrist
- Winchester, VA
- NPI 1285621706
-
- Optometrist
- Lynchburg, VA
- NPI 1023490760
-
- Optometrist
- Stafford, VA
- NPI 1598388001
-
- Corneal and Contact Management Optometrist
- Lynchburg, VA
- NPI 1366448144
-
- Optometrist
- Richmond, VA
- NPI 1427783893
-
- Optometrist
- Waldorf, MD
- NPI 1699089201
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.