Active NPI
Nick Neagle, OD
- Optometrist
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OP532
- Practice address
- 650 Massachusetts Ave NW
Washington, DC 20001-3796 - Phone
- (202) 898-1060
- Fax
- (202) 898-0472
- NPI assigned
- Jan 10, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | I3-0001265 | DE | |
| Optometrist | 152W00000X | OP532 | DC | Primary |
Addresses
Primary practice location
650 Massachusetts Ave NW
Washington, DC 20001-3796
Mailing address
1950 Old Gallows Rd
Suite 520
Vienna, VA 22182-3990
Phone (703) 847-8899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001138722 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
650 Massachusetts Ave NW
Washington, DC 20001-3796
Phone (202) 898-1060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP532 | DC | MD | Optometrist |
| I3-0001265 | DE | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of DC, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Delaware PA | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of DC, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Delaware PA | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Delaware PA | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of DC, LLC | Optometrist | Current | Accepting new patients |
| Sussex Eye Center PA | Optometrist | Past | Accepting new patients |
| Peninsula Eye Center PA | Past | Accepting new patients |
Locations
1330 Connecticut Ave NW
Washington, DC 20036
Phone (202) 785-5700
3418 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 547-0956
800 K St NW
Ste 64
Washington, DC 20001
Phone (202) 898-1060
1776 G St NW
Ste 104
Washington, DC 20006
Phone (202) 298-6878
650 Massachusetts Ave NW
Washington, DC 20001
Phone (202) 898-1060
233 Pennsylvania Ave SE
Washington, DC 20003
Phone (202) 544-9220
650 Massachusetts Ave NW
Ste 140
Washington, DC 20001
Phone (202) 898-1060
1744 L St NW
Washington, DC 20036
Phone (202) 463-6300
635 Pennsylvania Ave SE
Washington, DC 20003
Phone (202) 546-2838
1404 Forrest Ave
Ste 1
Dover, DE 19904
Phone (302) 346-2020
885 S Governors Ave
Dover, DE 19904
Phone (302) 734-5861
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 8
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.
-
- Ophthalmology Physician
- Salisbury, MD
- NPI 1164546974
-
- Optometrist
- Georgetown, DE
- NPI 1427090570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1417006057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD",
"address_2": "SUITE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823990",
"telephone_number": "703-847-8899",
"fax_number": "703-991-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 MASSACHUSETTS AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200013796",
"telephone_number": "202-898-1060",
"fax_number": "202-898-0472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAGLE",
"first_name": "NICK",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "DE",
"license": "I3-0001265",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "DC",
"license": "OP532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001138722",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.