Patricia Clubb OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PATRICIA CLUBB OD PLLC

Practice address

10215 Carnoch Way
Suite 113
Bristow, VA 20136

Phone

(571) 406-5588

NPI assigned

Feb 13, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Clubb, OD, MSNPI 1518493451

Title

Owner

Phone

(571) 723-8009

Specialties & licenses 1

Addresses

Tax ID family

Patricia Clubb OD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Patricia Clubb OD PLLC

  • Optometrist
  • Bristow, VA
  • NPI 1255299301
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Clubb, O.D.

  • Optometrist
  • Bristow, VA
  • NPI 1518493451
  NPD Authorized official

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

{
    "created_epoch": "1770940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1225980931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14662 BATTERY RIDGE LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201202896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 CARNOCH WAY",
            "address_2": "SUITE 113",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "20136",
            "telephone_number": "571-406-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA CLUBB OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-02-13",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "CLUBB",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-723-8009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD, MS"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suhair Obeid Elzubair
• Our Golden Life LLC
• Michael A. Paige, ME.D
• Christen Panissidi, LCSW
• Navnit R Patel
• Patricia Clubb OD PLLC
• Deandra Lynn Payne-Allen, LPC
• Pediatrics First Speech Therapy
• Kathleen Lucy Persson, LCSW
• Elvia Del Carmen Pina, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.