Active NPI
Anne Meccariello
- Optometrist
- Burke, VA
National Provider Identifier
1295735587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000325
- Practice address
- 9314 Old Keene Mill Rd
Burke, VA 22015-4284 - Phone
- (703) 569-3131
- Fax
- (703) 451-9291
- NPI assigned
- Jul 28, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618000325 | VA | Primary |
Addresses
Primary practice location
9314 Old Keene Mill Rd
Burke, VA 22015-4284
Mailing address
9314 Old Keene Mill Rd
Burke, VA 22015-4284
Phone (703) 569-3131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009236945 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1089 | LA | MD | School Psychologist |
| 0618000325 | VA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1295735587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9314 OLD KEENE MILL RD",
"city": "BURKE",
"state": "VA",
"postal_code": "220154284",
"telephone_number": "703-569-3131",
"fax_number": "703-451-9291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9314 OLD KEENE MILL RD",
"city": "BURKE",
"state": "VA",
"postal_code": "220154284",
"telephone_number": "703-569-3131",
"fax_number": "703-451-9291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MECCARIELLO",
"first_name": "ANNE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-28",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618000325",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009236945",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burke, VA
- Dana Lymm McCormick, OT
- Kelly Anne McGuire, M.A.
- Nathan J McGwin, PA-C
- Alex McMillan IV, D.D.S.
- MDH Medical LLC
- Medical Durable Equipment
- Medical Facilities of America Xxix (Burke Health & Rehabilitation Center)
- Medstar Homecare Services LLC
- Jeffrey Earl Menges, PHYSICAL THERAPIST
- Meraki Wellness LLC (Jennifer Howard LLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.