Patricia Anne Shustock, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP564 Issued in DC

Practice address

614 17TH St NW
Washington, DC 20006-4802

Phone

(202) 298-6878

Fax

(202) 347-7180

NPI assigned

Jul 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Myeyedr Optometry of DC, LLC

  dba MyEyeDr.

  • Optometrist
  • Washington, DC
  • NPI 1891105458
  Medicare reassignment NPD
• Myeyedr Optometry of Virginia PLLC

  dba MyEyeDr

  • Optometrist
  • Ashburn, VA
  • NPI 1174933691
  Medicare reassignment NPD
• Myeyedr Optometry of Virginia, PLLC

  dba MyEyeDr.

  • Optometrist
  • Falls Church, VA
  • NPI 1710343744

  DC

  Medicare reassignment NPD
• Vision Source DC Focus Eyecare Center P.C.

  • Optometrist
  • Washington, DC
  • NPI 1275624330
  Authorized official Same address or phone
• Myeyedr Optometry of DC, LLC

  dba MyEyeDr.

  • Optometrist
  • Washington, DC
  • NPI 1114814381
  NPD
• Myeyedr Optometry of DC, LLC

  dba MyEyeDr.

  • Optometrist
  • Washington, DC
  • NPI 1689330490
  NPD
• Myeyedr Optometry of Virginia, PLLC

  dba MyEyeDr

  • Optometrist
  • Herndon, VA
  • NPI 1386164309
  NPD
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • North Chesterfield, VA
  • NPI 1932075983
  NPD
• Myeyedr Optometry of Virginia, PLLC

  dba MyEyeDr.

  • Optometrist
  • Bristow, VA
  • NPI 1932865730
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326077157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 17TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200064802",
            "telephone_number": "202-298-6878",
            "fax_number": "202-347-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 17TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200064802",
            "telephone_number": "202-298-6878",
            "fax_number": "202-347-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUSTOCK",
        "first_name": "PATRICIA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP564",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0830",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601-001171",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Shungwa
• Celestine Tamasang Shuonka
• Jeffrey Wilson Shupp, MD
• Grmanesh Hailekiros Shushay
• Constantine Shustikoff, M.D.
• Claudia Weituh Shuta Nyui
• Monette Marie Shuutleworth, DDS/PERIODONTIST
• Michael B Shvarts, MD
• David Shveiky, M.D.
• Omar Shwaiki, MD

• Optometrist in Washington, DC
• Providers in Washington, DC by specialty
• Optometrist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.