Individual provider Active NPI

Jayeanna Rae Hanning, O.D.

  • Optometrist
  • Charlottesville, VA
National Provider Identifier
1225000615
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001369 Issued in VA
Practice address
265 Merchant Walk Ave Ste 100
Charlottesville, VA 22902-6513
Phone
(434) 760-2020
Fax
(434) 260-8018
NPI assigned
Feb 2, 2006
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001369 VA Primary

Addresses

Primary practice location

265 Merchant Walk Ave Ste 100
Charlottesville, VA 22902-6513

Mailing address

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

Other practice location 1

4170 The Strand
Columbus, OH 43219-6121
Phone (614) 418-7101

Other names 1

  • Dr. Jayeanna Rae McMullen Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130529000451 VA Practitioner - Optometry 9133134695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2159 Barracks Rd
Charlottesville, VA 22903-4812
Phone (434) 977-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Apr 29, 2019 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Apr 29, 2019 Accepting new patients
National Optometric Center PLC Optometrist Past Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients
Kline Vision Incorporated Optometrist PastSince Aug 1, 2005 Accepting new patients

Locations

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

265 Merchant Walk Ave
Ste 100
Charlottesville, VA 22902
Phone (434) 760-2020

2159 Barracks Rd
Charlottesvle, VA 22903
Phone (434) 944-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1225000615",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 MERCHANT WALK AVE STE 100",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229026513",
            "telephone_number": "434-760-2020",
            "fax_number": "434-260-8018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4170 The Strand",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432196121",
            "country_code": "US",
            "telephone_number": "614-418-7101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNING",
        "first_name": "JAYEANNA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYEANNA",
            "last_name": "MCMULLEN",
            "middle_name": "RAE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.