Kristy Ambrose, O.D.
Individual provider Active NPI Optometrist · Yorktown, VA
NPI 1306030408 · NPPES record last updated Sep 11, 2020
Key facts
- NPI
- 1306030408
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 0618001729 (VA)
- Practice address
- 6515 George Washington Mem Hwy Ste 102
Yorktown, VA 23692-2182 - Phone
- (757) 369-6623
- Fax
- (757) 369-6627
- NPI assigned
- Aug 31, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DRS. Lundberg and Lodwick, Optometrists PC
Practice addresses (Care Compare)
101 Bulifants Blvd
Suite a
Williamsbirg, VA 23188-5721
Phone (757) 564-1907
Hospital & facility affiliations
- Sentara Williamsburg Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 27 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090113000064 | VA | Practitioner - Optometry | 0749343085 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5708 | OH | MD | Optometrist |
| 0618001729 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Lundberg and Lodwick, Optometrists PC | Optometrist | Current |
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 | Current |
Accepting new patients |
| Gontarek Eye Care Optometrists LLC | Optometrist | Past |
Accepting new patients |
Locations
44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600
422 Oriana Rd
Newport News, VA 23608
Phone (757) 875-0675
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
101 Bulifants Blvd
Ste A
Williamsburg, VA 23188
Phone (757) 564-1907
6515 George Washington Mem Hwy
Ste 102
Yorktown, VA 23692
Phone (757) 369-6623
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5708 | OH | |
| Optometrist | 152W00000X | 0618001729 | VA | Yes |
Addresses
Primary practice location
6515 George Washington Mem Hwy Ste 102
Yorktown, VA 23692-2182
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Other names
- Dr. Kristy Chmilewski
Other providers in Yorktown, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2020. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.