Active NPI
Scott Barron, OD
- Optometrist
- Herndon, VA
National Provider Identifier
1205918315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0601001554
- Practice address
- 2501 Centreville Rd # 012
Herndon, VA 20171-5009 - Phone
- (703) 471-1012
- Fax
- (703) 793-6128
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0601001554 | VA | Primary |
Addresses
Primary practice location
2501 Centreville Rd # 012
Herndon, VA 20171-5009
Mailing address
11103 West Ave
Suite 6
San Antonio, TX 78213-1370
Phone (210) 524-6509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0601001554 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Poth, O.D. and Associates, P.C. | Optometrist | Current | Accepting new patients |
| Daniel Poth, O.D. and Associates, P.C. | Optometrist | Current | Accepting new patients |
| Daniel Poth, O.D. and Associates, P.C. | Optometrist | Past | Accepting new patients |
Locations
11130L South Lakes Dr
Reston, VA 20191
Phone (703) 471-1012
2700 Potomac Mills Cir
Ste 105
Woodbridge, VA 22192
Phone (703) 494-0660
Organizations & group practices 3
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": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205918315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11103 WEST AVE",
"address_2": "SUITE 6",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782131370",
"telephone_number": "210-524-6509",
"fax_number": "210-524-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 CENTREVILLE RD # 012",
"city": "HERNDON",
"state": "VA",
"postal_code": "201715009",
"telephone_number": "703-471-1012",
"fax_number": "703-793-6128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRON",
"first_name": "SCOTT",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0601001554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herndon, VA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.