NPIMap

Organization Active NPI

Myeyedr Optometry of Virginia PLLC

Doing business as MyEyeDr

  • Optometrist
  • Ashburn, VA
National Provider Identifier
1174933691
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MYEYEDR OPTOMETRY OF VIRGINIA PLLC
Doing business as
MyEyeDr
Practice address
44727 Brimfield Dr
Ashburn, VA 20147-5920
Phone
(571) 385-4600
Fax
(571) 385-4605
NPI assigned
May 6, 2014
Last updated
May 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

44727 Brimfield Dr
Ashburn, VA 20147-5920

Mailing address

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

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

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
49D2313354Myeyedr Optometry of Virginia, PLLC44727 Brimfield Drive, Ashburn, VA 20147Certificate of waiverOct 29, 2026

National Provider Directory

National Provider Directory
Tax ID family
Myeyedr72 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Locations

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

1401 Greenbrier Pkwy
Chesapeake, VA 23320
Phone (757) 366-8568

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

4203 Fairfax Corner Ave E
Fairfax, VA 22030
Phone (703) 266-8400

2040 Coliseum Dr
Ste 33
Hampton, VA 23666
Phone (757) 827-6530

2539 John Milton Dr
Herndon, VA 20171
Phone (703) 239-6633

6740 Old McLean Village Dr
McLean, VA 22101
Phone (703) 356-1292

42015 Village Center Plz
Ste 103
Stone Ridge, VA 20105
Phone (703) 542-8888

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

Practitioners & affiliated clinicians

Practitioners 339

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 339

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1174933691",
    "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": "44727 BRIMFIELD DR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475920",
            "telephone_number": "571-385-4600",
            "fax_number": "571-385-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYEYEDR OPTOMETRY OF VIRGINIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "HEALEY",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyEyeDr",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MyEyeDr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.