Individual provider Active NPI

Chantana Melanie Moapichai, OD

  • Optometrist
  • Fairfax, VA
National Provider Identifier
1326933458
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003505 Issued in VA
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

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
0618003505VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visualeyes Optometrists PLLC Optometrist CurrentSince Sep 3, 2025 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

Verify at the official NPI Registry.