May & Hettler, O.D., PLLC
Organization Active NPI Optometrist · Sterling, VA
NPI 1295939304 · NPPES record last updated Jul 14, 2022
Key facts
- NPI
- 1295939304
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 0618000063 (VA)
- Legal business name
- MAY & HETTLER, O.D., PLLC
- Practice address
- 21800 Towncenter PLZ
Sterling, VA 20164-1897 - Phone
- (703) 430-0444
- Fax
- (703) 430-8516
- NPI assigned
- Jun 13, 2007
- Organization subpart
- No
Authorized official
- Name
- James Wachter
- Title
- Cmo
- Phone
- (636) 200-4393
Other NPIs on the same Medicare enrollment 5
Other NPIs with the same Medicare PAC ID 1
Practitioners 23
-
Theresa L Batac, O.D.
-
Kurt Peterson Finney, O.D.
-
Pauline Wong Gee, O.D.
-
David Howard Hettler, O.D.
-
Dina Mazeas, O.D.
-
Alison Elizabeth Parrish, O.D.
-
Elham Quraishi, OD
-
Jeffrey Thompson, OD - OPTOMETRY DEGRE
-
Stefan Kristoph Young, O.D.
-
Patricia Clubb, O.D.
-
Kimberly Ho, O.D.
-
Amanda Marie Thompson, O.D.
-
Joshua Yoo, O.D.
-
Amit Chohan, OD
-
Pamela Marie Marzec, O.D.
-
Dmitriy Richter, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050121000578 | VA | Part B Supplier - Clinic/Group Practice | 4981653433 |
Receives reassigned benefits from 23 practitioners 5 other NPIs on this enrollment Practice locations: Manassas, VA; Sterling, VA; Virginia Beach, VA; Woodbridge, VA; Fredericksburg, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 0618000063 | VA | Yes |
Addresses
Primary practice location
21800 Towncenter PLZ
Sterling, VA 20164-1897
Mailing address
PO Box 208869
Dallas, TX 75320-8869
Phone (636) 200-4393
Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.