Active NPI
Dustin Colt Briscoe, O.D.
- Optometrist
- Woodbridge, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618003275
- Practice address
- 14465 Potomac Mills Rd
Woodbridge, VA 22192-6807 - Phone
- (703) 494-6184
- Fax
- (703) 499-9744
- NPI assigned
- Jul 16, 2015
- Last updated
- Nov 16, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901005020 | MI | |
| Optometrist | 152W00000X | 3186 | TN | |
| Optometrist | 152W00000X | OEG004046 | PA | |
| Optometrist | 152W00000X | NA2947 | MD | |
| Optometrist | 152W00000X | 0618003275 | VA | Primary |
Addresses
Primary practice location
14465 Potomac Mills Rd
Woodbridge, VA 22192-6807
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MI, VA, PA, MD, DC, IN, WI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12101 Winchester Rd
Suite 102
Cumberland, MD 21502-7688
Phone (301) 722-6480
1355 W Main St
Suite a
Bellevue, OH 44811-9082
Phone (419) 483-7685
6306 /2 York Rd
Baltimore, MD 21212-2635
Phone (443) 863-5206
8254 Mayberry SQ N
Sylvania, OH 43560-9457
Phone (419) 885-5300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901005020 | MI | MD | Optometrist |
| 0618003275 | VA | MD | Optometrist |
| 3186 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Wisconsin, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Wisconsin, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Michigan, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Ohio, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Michigan, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Tennessee, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Tennessee, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Michigan, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virgnia, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Wisconsin, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Ohio, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Tennessee, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Ohio, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Silver Spring Optometry, LLC | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Past | Accepting new patients |
Locations (25 of 48)
2224 Cassopolis St
Elkhart, IN 46514
Phone (574) 206-1533
9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200
6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206
6804 Race Track Rd
Bowie, MD 20715
Phone (301) 262-1210
19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200
2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919
65 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 342-0003
1761 M 139
Benton Harbor, MI 49022
Phone (269) 934-0424
755 E Chicago St
Coldwater, MI 49036
Phone (517) 278-9004
1617 N West Ave
Jackson, MI 49202
Phone (517) 780-3828
800 S Brown St
Jackson, MI 49203
Phone (517) 787-8890
855 Olds St
Jonesville, MI 49250
Phone (515) 849-2200
2067 S Drake Rd
Kalamazoo, MI 49006
Phone (269) 366-3664
5349 W Main St
Kalamazoo, MI 49009
Phone (269) 349-7627
5465 Gull Rd
Kalamazoo, MI 49048
Phone (269) 349-7631
1103 S Cedar St
Mason, MI 48854
Phone (517) 244-7787
1103 S Cedar St
Ste 200
Mason, MI 48854
Phone (517) 676-9350
1421 S 11th St
Niles, MI 49120
Phone (269) 684-1330
6123 S Westnedge Ave
Portage, MI 49002
Phone (269) 327-7079
48873 Hayes Rd
Shelby Township, MI 48315
Phone (586) 247-2121
500 S Centerville Rd
Sturgis, MI 49091
Phone (269) 651-1958
22750 Allen Rd
Woodhaven, MI 48183
Phone (734) 676-4300
1355 W Main St
Ste A
Bellevue, OH 44811
Phone (419) 483-7685
122 Fowler St
Cortland, OH 44410
Phone (330) 638-8599
768 NW Washington Blvd
Hamilton, OH 45013
Phone (513) 893-8816
Organizations & group practices 31
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.
-
- Ophthalmology Physician
- Farmington Hills, MI
- NPI 1487979647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1407230774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14465 POTOMAC MILLS RD",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221926807",
"telephone_number": "703-494-6184",
"fax_number": "703-499-9744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISCOE",
"first_name": "DUSTIN",
"middle_name": "COLT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-16",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005020",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "3186",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG004046",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "NA2947",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618003275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.