Individual provider Active NPI

Won Ho Seo

  • Optometrist
  • Vienna, VA
National Provider Identifier
1275370926
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003440 Issued in VA
Practice address
120 Beulah Rd NE Ste 101
Vienna, VA 22180-4745
Phone
(703) 938-7633
NPI assigned
Jul 10, 2024
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 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 0618003440 VA Primary

Addresses

Primary practice location

120 Beulah Rd NE Ste 101
Vienna, VA 22180-4745

Mailing address

2727 Merrilee Dr Apt 540
Fairfax, VA 22031-4456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20240816002245 DC Practitioner - Optometry 7012455447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
C. Richard Snively, Jr., O.D.,P.C.Group PAC ID 7517093859, 4 clinicians

Practice addresses (Care Compare)

120 Beulah Rd
Vienna, VA 22180-4745

120 Beulah Rd NE
Suite 101
Vienna, VA 22180-4745
Phone (703) 938-7633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
C. Richard Snively, Jr., O.D.,P.C. Optometrist CurrentSince Aug 5, 2024 Accepting new patients

Locations

120 Beulah Rd NE
Vienna, VA 22180
Phone (703) 938-2000

120 Beulah Rd NE
Ste 101
Vienna, VA 22180
Phone (703) 938-7633

Organizations & group practices 1

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": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1275370926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 MERRILEE DR APT 540",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BEULAH RD NE STE 101",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804745",
            "telephone_number": "703-938-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEO",
        "first_name": "WON HO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.