Active NPI
Chantana Melanie Moapichai, OD
- Optometrist
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618003505
- Practice address
- 9600 Main St Ste H
Fairfax, VA 22031-3798 - Phone
- (703) 764-3937
- NPI assigned
- Jun 10, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | 0618003505 | VA | |
| Optometrist | 152W00000X | 0618003505 | VA | Primary |
Addresses
Primary practice location
9600 Main St Ste H
Fairfax, VA 22031-3798
Mailing address
9600 Main St Ste H
Fairfax, VA 22031-3798
Phone (703) 764-3937
Other practice location 1
4018 Campbell Ave
Arlington, VA 22206-3424
Phone (703) 671-1188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250918000462 | DC | Practitioner - Optometry | 3678074028 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5639 Faircloth CT
Centreville, VA 20120-1992
9600 Main St
Suite H
Fairfax, VA 22031-3798
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618003505 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visualeyes Optometrists PLLC | Optometrist | Current | Accepting new patients |
Locations
5876 Kingstowne Ctr
Alexandria, VA 22315
5876 Kingstowne Ctr
Ste 150
Alexandria, VA 22315
Phone (703) 417-9316
4018 Campbell Ave
Arlington, VA 22206
Phone (703) 671-1188
9600 Main St
Ste H
Fairfax, VA 22031
Phone (703) 764-3937
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1326933458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 MAIN ST STE H",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220313798",
"telephone_number": "703-764-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 MAIN ST STE H",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220313798",
"telephone_number": "703-764-3937"
}
],
"practiceLocations": [
{
"address_1": "4018 Campbell Ave",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "222063424",
"country_code": "US",
"telephone_number": "703-671-1188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOAPICHAI",
"first_name": "CHANTANA",
"middle_name": "MELANIE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-10",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "VA",
"license": "0618003505",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618003505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.