Individual provider Active NPI

Carol Paige Bringham, O.D.

  • Optometrist
  • Arlington, VA
National Provider Identifier
1407015274
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002076 Issued in VA
Practice address
4018 Campbell Ave
Arlington, VA 22206-3424
Phone
(703) 671-1188
Fax
(703) 671-1198
NPI assigned
Jun 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 659 HI
Optometrist 152W00000X 0618002076 VA Primary

Addresses

Primary practice location

4018 Campbell Ave
Arlington, VA 22206-3424

Mailing address

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
I20201113001902 DC Practitioner - Optometry 1052628765 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visualeyes Optometrists PLLC Optometrist CurrentSince Feb 16, 2023 Accepting new patients
Dr. Khan Lau Optometrist Optometrist Past Accepting new patients

Locations

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 2

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1407015274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4018 CAMPBELL AVE",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063424",
            "telephone_number": "703-671-1188",
            "fax_number": "703-671-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4018 CAMPBELL AVE",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063424",
            "telephone_number": "703-671-1188",
            "fax_number": "703-671-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINGHAM",
        "first_name": "CAROL",
        "middle_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "659",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.