Individual provider Active NPI

Dustin Colt Briscoe, O.D.

  • Optometrist
  • Woodbridge, VA
National Provider Identifier
1407230774
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003275 Issued in VA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, OH9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20151028001532 TN Practitioner - Optometry 8527377720 Reassigns benefits to 1 organization
I20171129003169 MI Practitioner - Optometry 8527377720 Reassigns benefits to 2 organizations
I20230801003760 VA Practitioner - Optometry 8527377720 Reassigns benefits to 1 organization
I20230830004122 PA Practitioner - Optometry 8527377720 Reassigns benefits to 1 organization
I20231128002716 MD Practitioner - Optometry 8527377720 Reassigns benefits to 1 organization
I20240113000103 DC Practitioner - Optometry 8527377720 Reassigns benefits to 2 organizations
I20250328001844 IN Practitioner - Optometry 8527377720 Reassigns benefits to 1 organization
I20250407001776 WI Practitioner - Optometry 8527377720 Reassigns benefits to 1 organization
I20250515002221 OH Practitioner - Optometry 8527377720 Reassigns benefits to 1 organization

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
Myeyedr Optometry of Maryland LLCGroup PAC ID 6002037629, 121 clinicians
Myeyedr Optometry of Ohio, LLCGroup PAC ID 7719211010, 72 clinicians

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

LicenseStateTypeSpecialty
4901005020MIMDOptometrist
0618003275VAMDOptometrist
3186TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince Jul 17, 2023 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist CurrentSince Mar 20, 2025 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 CurrentSince Dec 21, 2025 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince May 2, 2025 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince Oct 31, 2025 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 CurrentSince Dec 1, 2025 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virgnia, PLLC Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Myeyedr Optometry of Wisconsin, LLC Optometrist CurrentSince Mar 20, 2025 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince May 2, 2025 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Jul 17, 2023 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Oct 22, 2023 Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince Oct 31, 2025 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Mar 10, 2025 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Mar 10, 2025 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Oct 22, 2023 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.

View all 31

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

Verify at the official NPI Registry.