Individual provider Active NPI

Sukhjinder Kandola, O.D.

  • Optometrist
  • Washington, DC
National Provider Identifier
1356911606
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003047 Issued in VA
Practice address
3553 16TH St NW
Washington, DC 20010-3041
Phone
(571) 291-1923
NPI assigned
Jun 29, 2021
Last updated
Jun 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618003047 VA Primary

Addresses

Primary practice location

3553 16TH St NW
Washington, DC 20010-3041

Mailing address

21639 Bronte PL
Ashburn, VA 20147-4783
Phone (571) 291-1923

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
I20211018002557 DC Practitioner - Optometry 4688072960 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618003047VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodbridge Optometrists, Inc Optometrist CurrentSince Jan 18, 2026 Accepting new patients
Visual Health Reston LLC Optometrist CurrentSince Jan 19, 2026 Accepting new patients
Visual Health Doctors of Optometry Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Visual Health Doctors of Optometry Optometrist Past Accepting new patients

Locations

2464 Mandeville Ln
Alexandria, VA 22314
Phone (571) 597-1135

3012 Wilson Blvd
Arlington, VA 22201
Phone (703) 566-1850

730 N Glebe Rd
Arlington, VA 22203
Phone (703) 576-0144

19825 Belmont Chase Dr
Ste 165
Ashburn, VA 20147
Phone (571) 291-3604

10690 Fairfax Blvd
Fairfax, VA 22030
Phone (703) 273-6323

701 W Broad St
Ste 100
Falls Church, VA 22046
Phone (703) 237-6500

494 Elden St
Ste 2
Herndon, VA 20170
Phone (571) 520-2130

1340 Old Chain Bridge Rd
Ste 102
McLean, VA 22101
Phone (703) 893-2020

2045 Fulton Pl
Reston, VA 20191
Phone (517) 231-4086

14901 Potomac Town Pl
Ste 120
Woodbridge, VA 22191
Phone (703) 278-3002

Organizations & group practices 4

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1356911606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21639 BRONTE PL",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474783",
            "telephone_number": "571-291-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3553 16TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103041",
            "telephone_number": "571-291-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDOLA",
        "first_name": "SUKHJINDER",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.