Individual provider Active NPI

Nicole Elizabeth Salomone, O.D.

  • Optometrist
  • Springfield, VA
National Provider Identifier
1184769002
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001054 Issued in VA
Practice address
6699 Springfield Mall
Springfield, VA 22150-1711
Phone
(703) 971-1091
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001054 VA Primary

Addresses

Primary practice location

6699 Springfield Mall
Springfield, VA 22150-1711

Mailing address

772 Monument Ave
Woodbridge, VA 22191-5424

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190405000907 DC Practitioner - Optometry 3678814340 Reassigns benefits to 1 organization
I20190410000275 VA Practitioner - Optometry 3678814340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Virginia, PLLCGroup PAC ID 0143448456, 133 clinicians

Practice addresses (Care Compare)

1648 Boro PL
MC Lean, VA 22102-3612
Phone (703) 506-0000

251W Lee Hwy 632
Warrenton, VA 20186-2096
Phone (540) 428-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001054VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Feb 13, 2019 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Feb 13, 2019 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Nov 12, 2019 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Current Accepting new patients
Usv Optical Inc. Past Accepting new patients
Usv Optical Inc Optometrist Past Accepting new patients

Locations

6307 Richmond Hwy
Ste D
Alexandria, VA 22306
Phone (703) 269-9878

4555 Duke St
Alexandria, VA 22304
Phone (703) 370-7111

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

5809 Leesburg Pike
Falls Church, VA 22041
Phone (866) 693-9336

7367 Atlas Walk Way
Gainesville, VA 20155
Phone (703) 753-7200

9419 Lorton Market St
Lorton, VA 22079
Phone (703) 339-9833

9930 Sowder Village Sq
Ste 220
Manassas, VA 20109
Phone (703) 368-2121

1648 Boro Pl
Mc Lean, VA 22102
Phone (703) 506-0000

1648 Boro Pl
#105B
McLean, VA 22102

6406 Springfield Plz
Springfield, VA 22150
Phone (703) 451-4577

1515 Stafford Market Pl
Ste 121
Stafford, VA 22556
Phone (540) 657-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

251 W Lee Hwy
Ste 632
Warrenton, VA 20186
Phone (540) 428-3937

14465 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 494-6184

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1184769002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 MONUMENT AVE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6699 SPRINGFIELD MALL",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501711",
            "telephone_number": "703-971-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALOMONE",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.