Individual provider Active NPI

Stephen W Hinkle, O.D.

  • Optometrist
  • Ashburn, VA
National Provider Identifier
1336160886
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001162 Issued in VA
Practice address
44075 Pipeline PLZ
Suite 205
Ashburn, VA 20147-5881
Phone
(703) 724-9948
Fax
(703) 724-9948
NPI assigned
Jul 21, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001162 VA Primary

Addresses

Primary practice location

44075 Pipeline PLZ
Suite 205
Ashburn, VA 20147-5881

Mailing address

8833 Western Hemlock Way
Lorton, VA 22079-5677
Phone (703) 646-5526

Other identifiers 1

IdentifierTypeStateIssuer
0618001162OtherVASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20081210000730 VA Practitioner - Optometry 8628018199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FS Optometry LLCGroup PAC ID 2163583790, 3 clinicians

Practice addresses (Care Compare)

44075 Pipeline PLZ
Ashburn, VA 20147-5890
Phone (703) 724-9948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001162VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
FS Optometry LLC Optometrist CurrentSince Oct 1, 2007 Accepting new patients
FS Optometry LLC Past Accepting new patients

Locations

44075 Pipeline Plz
Ste 205
Ashburn, VA 20147
Phone (703) 724-9948

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1336160886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8833 WESTERN HEMLOCK WAY",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220795677",
            "telephone_number": "703-646-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44075 PIPELINE PLZ",
            "address_2": "SUITE 205",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475881",
            "telephone_number": "703-724-9948",
            "fax_number": "703-724-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINKLE",
        "first_name": "STEPHEN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0618001162",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.