Individual provider Active NPI

Roshni A Patel, OD

  • Optometrist
  • Ashburn, VA
National Provider Identifier
1417437203
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002694 Issued in VA
Practice address
44050 Ashburn Village Blvd
Suite 163
Ashburn, VA 20147
Phone
(703) 726-0005
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002694 VA Primary

Addresses

Primary practice location

44050 Ashburn Village Blvd
Suite 163
Ashburn, VA 20147

Mailing address

4550 Rona PL
Fairfax, VA 22030-6277
Phone (703) 537-6307

Other practice location 1

3910 Centreville Rd Ste 100
Chantilly, VA 20151-3280
Phone (703) 830-6380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190111001971 DC Practitioner - Optometry 5597001578 Reassigns benefits to 1 organization
I20190205002004 VA Practitioner - Optometry 5597001578

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anh Nguyen MD, PCGroup PAC ID 8426053638, 5 clinicians

Practice addresses (Care Compare)

6402 Arlington Blvd
Suite 600
Falls Church, VA 22042-2343
Phone (703) 534-4393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anh Nguyen, M.D., P.C. CurrentSince Dec 1, 2019 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist PastSince Dec 5, 2021 Accepting new patients
Anh Nguyen Ophthalmic Surgery LLC PastSince Jan 26, 2025 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients

Locations

6402 Arlington Blvd
Ste 600
Falls Church, VA 22042
Phone (703) 534-4393

Organizations & group practices 4

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": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1417437203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 RONA PL",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306277",
            "telephone_number": "703-537-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44050 ASHBURN VILLAGE BLVD",
            "address_2": "SUITE 163",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "20147",
            "telephone_number": "703-726-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3910 Centreville Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201513280",
            "country_code": "US",
            "telephone_number": "703-830-6380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ROSHNI",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.