Keith James, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002556 Issued in VA

Practice address

6828 Springfield Mall
Springfield, VA 22150-1720

Phone

(703) 971-2021

NPI assigned

Nov 11, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eye Smile Optometry PLLC

  • Optometrist
  • Arlington, VA
  • NPI 1831747336

  DC

  Medicare reassignment Authorized official
• Visual Health Doctors of Optometry

  • Corneal and Contact Management Optometrist
  • Arlington, VA
  • NPI 1265974000
  NPD (past)
• Visual Health Doctors of Optometry

  • Optometrist
  • Springfield, VA
  • NPI 1386186138
  NPD (past)

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235430992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 COLUMBIA PIKE STE 102",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041876",
            "telephone_number": "571-441-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6828 SPRINGFIELD MALL",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501720",
            "telephone_number": "703-971-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 Lafayette Ave",
            "address_2": "Apt. 2",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112054998",
            "country_code": "US",
            "telephone_number": "585-857-0891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4231 Columbia Pike",
            "address_2": "STE 102",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "22204",
            "country_code": "US",
            "telephone_number": "571-441-0041",
            "fax_number": "571-441-0045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-11",
        "last_updated": "2022-07-21",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002556",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA-2497",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Jackson
• Christine Ho Jacobs, DPT
• Jacqueline K. Hoang MD PC
• Priya Jagannathan, MD
• Arehzo Jahangiri, MD
• Rebekah James
• Hannah Jamialahmadi
• Janice G. Sadaya-Conda M.D., PLLC
• Karlie Nicole Jardine
• Sumiye Anne Jarreau-Horton, BCBA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.