Individual provider Active NPI

Jamie Kao, OD

  • Optometrist
  • Reston, VA
National Provider Identifier
1326737115
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003270 Issued in VA
Practice address
1841 Fountain Dr
Reston, VA 20190-3326
Phone
(702) 264-2020
NPI assigned
May 5, 2023
Last updated
Jun 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 0618003270 VA Primary

Addresses

Primary practice location

1841 Fountain Dr
Reston, VA 20190-3326

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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
I20230627000112 VA Practitioner - Optometry 4082072830 Reassigns benefits to 2 organizations
I20230627001906 DC Practitioner - Optometry 4082072830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1841 Fountain Dr
Reston, VA 20190-3326
Phone (703) 264-2020

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jun 6, 2023 Accepting new patients
Dulles Optometry, LLC Optometrist CurrentSince Jun 6, 2023 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Sep 5, 2023 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jun 6, 2023 Accepting new patients
My Eye Dr. Optometrists, LLC Optometrist Past Accepting new patients

Locations

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

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

14337 Newbrook Dr
Ste 400
Chantilly, VA 20151
Phone (571) 512-5990

3910 Centreville Rd
Ste 100
Chantilly, VA 20151
Phone (703) 830-6377

4203 Fairfax Corner Ave E
Fairfax, VA 22030
Phone (703) 266-8400

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

13320 Franklin Farm Rd
Ste H
Herndon, VA 20171
Phone (703) 481-5600

709 Pine St
Herndon, VA 20170
Phone (703) 471-7810

2960 Chain Bridge Rd
Ste 101
Oakton, VA 22124
Phone (703) 865-6890

1841 Fountain Dr
Reston, VA 20190
Phone (703) 264-2020

22000 Dulles Retail Plz
Ste 168
Sterling, VA 20166
Phone (703) 421-3322

1950 Old Gallows Rd
Ste 100
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

401 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5544

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 7

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": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1326737115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 FOUNTAIN DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903326",
            "telephone_number": "702-264-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAO",
        "first_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.