Individual provider Active NPI

Ritu Kapoor, OD

  • Optometrist
  • Sterling, VA
National Provider Identifier
1386784247
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
618000394 Issued in VA
Practice address
46175 Westlake Dr
Ste 210
Sterling, VA 20165-5873
Phone
(703) 430-2220
Fax
(703) 430-3320
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 618000394 VA Primary

Addresses

Primary practice location

46175 Westlake Dr
Ste 210
Sterling, VA 20165-5873

Mailing address

10401 Boswell LN
Potomac, MD 20854-6301
Phone (240) 418-2435

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
I20130815000790 VA Practitioner - Optometry 4880836154 Practice locations: Sterling, VA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

46175 Westlake Dr
Suite 210
Sterling, VA 20165-5884
Phone (703) 430-2220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1386784247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 BOSWELL LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208546301",
            "telephone_number": "240-418-2435",
            "fax_number": "703-430-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46175 WESTLAKE DR",
            "address_2": "STE 210",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655873",
            "telephone_number": "703-430-2220",
            "fax_number": "703-430-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "RITU",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "618000394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

Verify at the official NPI Registry.