Individual provider Active NPI

Robert Charles Sparrenberger, OD

  • Optometrist
  • Falls Church, VA
National Provider Identifier
1336153279
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001575 Issued in VA
Practice address
7263E Arlington Blvd
Falls Church, VA 22042-3219
Phone
(703) 573-1200
Fax
(703) 573-1250
NPI assigned
Jul 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001575 VA Primary

Addresses

Primary practice location

7263E Arlington Blvd
Falls Church, VA 22042-3219

Mailing address

7263E Arlington Blvd
Falls Church, VA 22042-3219
Phone (703) 573-1200

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070913000715 DC Practitioner - Optometry 0648364216 Reassigns benefits to 1 organization
I20210504001439 VA Practitioner - Optometry 0648364216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Virginia Doctors of OptometryGroup PAC ID 1759301765, 21 clinicians

Practice addresses (Care Compare)

11656 Plaza America Dr
Reston, VA 20190-4700
Phone (703) 467-9080

3 /2 E Main St
Berryville, VA 22611-1337
Phone (540) 955-5051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001575VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Doctors of Optometry Optometrist CurrentSince Mar 1, 2007 Accepting new patients
Sonus-USA, Inc. Past Accepting new patients

Locations

1632 Belle View Blvd
#A
Alexandria, VA 22307

1235 S Clark St
Ste 200
Arlington, VA 22202
Phone (703) 413-1400

2521 Wilson Blvd
Arlington, VA 22201
Phone (703) 522-7676

3 E Main St
Berryville, VA 22611
Phone (540) 955-5051

7249 Arlington Blvd
Falls Church, VA 22042
Phone (703) 573-1200

7263E Arlington Blvd
Falls Church, VA 22042
Phone (703) 467-9080

11656 Plaza America Dr
Reston, VA 20190
Phone (703) 467-0359

Organizations & group practices 2

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336153279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7263E ARLINGTON BLVD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423219",
            "telephone_number": "703-573-1200",
            "fax_number": "703-573-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7263E ARLINGTON BLVD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423219",
            "telephone_number": "703-573-1200",
            "fax_number": "703-573-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARRENBERGER",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.