Mary Chandler

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA2534 Issued in MD

Practice address

10660 Crestwood Dr
Manassas, VA 20109-3432

Phone

(703) 369-3937

Fax

(703) 369-7147

NPI assigned

Jun 10, 2016

Last updated

Jan 25, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, 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

Pennsylvania College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lindsey M Vernillo OD PCGroup PAC ID 9830508365, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Lindsey M Vernillo OD PC

  dba Great Bridge Eye Care

  • Optometrist
  • Chesapeake, VA
  • NPI 1477132868
  Medicare reassignment Care Compare group NPD
• Dr Anup K Panjwani and Associates Inc

  dba hi def eyecare center

  • Optometrist
  • Alexandria, VA
  • NPI 1275827982

  MD

  Medicare reassignment NPD
• Piedmont Vision Care PLLC

  • Optometrist
  • Manassas, VA
  • NPI 1649469115
  Medicare reassignment
• Campbell Eye PLLC

  dba Piedmont Vision Care

  • Optometrist
  • Manassas, VA
  • NPI 1104610088
  NPD
• William C Holcomb OD PC

  dba Great Bridge Eye Care

  • Optometrist
  • Chesapeake, VA
  • NPI 1831373315
  NPD
• Warrenton Eye Center LLC

  • Optometrist
  • Warrenton, VA
  • NPI 1871846188
  NPD (past)

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1184073033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11930 ACTON LN",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013689",
            "telephone_number": "724-664-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10660 CRESTWOOD DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201093432",
            "telephone_number": "703-369-3937",
            "fax_number": "703-369-7147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11930 Acton Ln",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206013689",
            "country_code": "US",
            "telephone_number": "724-664-6784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salma Chakhachirou, O.D..
• Janice Chambers, D.ED ,LPC
• Joseph F Chambers, M.D.
• Tiffini Monet Chamblin, LBA, LMFT QMHP-C
• Avtar S Chana, M.D
• Terrica Lynn Chandler, LRC
• Beth B Chang, OTR/L, PHD
• Philip Chang, DMD
• Changeworks Psychotherapy & Life Coaching Services, LLC
• Chase Counseling, Inc.

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

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