Individual provider Active NPI

Jeromica Bosshera Ward, OD

  • Optometrist
  • Alexandria, VA
National Provider Identifier
1295387629
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
618002891 Issued in VA
Practice address
3690 King St Ste a
Alexandria, VA 22302-1921
Phone
(571) 670-8110
Fax
(571) 446-5124
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 618002891 VA Primary

Addresses

Primary practice location

3690 King St Ste a
Alexandria, VA 22302-1921

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

1870 Reservoir St
Harrisonburg, VA 22801
Phone (540) 434-6622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20200624001107 VA Practitioner - Optometry 0648692418 Reassigns benefits to 1 organization
I20221005002707 DC Practitioner - Optometry 0648692418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1870 Reservoir St
Harrisonburg, VA 22801-8742
Phone (540) 434-6622

3690 King St
Suite a
Alexandria, VA 22302-1921
Phone (571) 670-8110

5809 Leesburg Pike
Falls Church, VA 22041-2301
Phone (866) 693-9336

915 N Saint Asaph St
Suite 130
Alexandria, VA 22314-1531
Phone (703) 399-2021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
618002891VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Apr 24, 2024 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jul 20, 2020 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jul 20, 2020 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients
Myeyedr Optometry of Virgnia, PLLC Optometrist Past Accepting new patients
My Eye Dr. Optometrists, LLC Optometrist Past Accepting new patients

Locations

4555 Duke St
Alexandria, VA 22304
Phone (703) 370-7111

3690 King St
#A
Alexandria, VA 22302
Phone (571) 670-8110

915 N Saint Asaph St
Ste 130
Alexandria, VA 22314
Phone (703) 399-2021

6307 Richmond Hwy
Ste D
Alexandria, VA 22306
Phone (703) 269-9878

1211 S Fern St
Arlington, VA 22202
Phone (703) 888-2999

4121 Wilson Blvd
Ste 100
Arlington, VA 22203
Phone (703) 525-7474

2823 Clarendon Blvd
Arlington, VA 22201
Phone (703) 294-6600

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

5809 Leesburg Pike
Falls Church, VA 22041
Phone (866) 693-9336

1870 Reservoir St
Harrisonburg, VA 22801
Phone (540) 434-6622

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 9

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1295387629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 KING ST STE A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021921",
            "telephone_number": "571-670-8110",
            "fax_number": "571-446-5124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1870 Reservoir St",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "22801",
            "country_code": "US",
            "telephone_number": "540-434-6622",
            "fax_number": "540-434-4187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "JEROMICA",
        "middle_name": "BOSSHERA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "618002891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.