Mitra Madison, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001099 Issued in VA

Practice address

1669 Carl D Silver Pkwy
Fredericksburg, VA 22401-4934

Phone

(540) 548-2345

Fax

(540) 548-1222

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

Yes

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 VA

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 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adam H Madison OdpcGroup PAC ID 0446225841, 3 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Adam H Madison Odpc

  • Optometrist
  • Fredericksburg, VA
  • NPI 1518993641
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194841874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 CARL D SILVER PKWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014934",
            "telephone_number": "540-548-2345",
            "fax_number": "540-548-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 CARL D SILVER PKWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014934",
            "telephone_number": "540-548-2345",
            "fax_number": "540-548-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADISON",
        "first_name": "MITRA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zohra Madad, DDS
• Avneet Madan, MD
• Stephen William Maddock, M.D., PH.D.
• Angela Madison
• Caroline Christine Madison, CRNA
• Matthew Madujibeya, MD
• Dagmawit Maelaf, D.O
• Rozelle B Magee, LPC
• Magnolia Home Care
• Dominic Magrino, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.