Individual provider Active NPI

Michelle Elizabeth Thelen, OD

  • Optometrist
  • Annandale, VA
National Provider Identifier
1427196054
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001027 Issued in VA
Practice address
7630 Little River Tpke Ste 100
Annandale, VA 22003-2614
Phone
(703) 941-4111
Fax
(703) 941-3929
NPI assigned
Feb 3, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001027 VA Primary

Addresses

Primary practice location

7630 Little River Tpke Ste 100
Annandale, VA 22003-2614

Mailing address

7630 Little River Tpke Ste 100
Annandale, VA 22003-2614
Phone (703) 941-4111

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
I20080212000558 DC Practitioner - Optometry 0042393191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drsthelen PCGroup PAC ID 9032111984, 2 clinicians

Practice addresses (Care Compare)

7630 Little River Tpke
Suite 100
Annandale, VA 22003-2614
Phone (703) 941-4111

7630 Little River Turnpike
100 Annandale Eyecare
Annandale, VA 22003-2614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drsthelen PC Optometrist CurrentSince Mar 21, 2006 Accepting new patients

Locations

7540 Little River Tpke
Ste B
Annandale, VA 22003
Phone (703) 941-4111

7630 Little River Tpke
Ste 100
Annandale, VA 22003
Phone (703) 752-4623

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1427196054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 LITTLE RIVER TPKE STE 100",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032614",
            "telephone_number": "703-941-4111",
            "fax_number": "703-941-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 LITTLE RIVER TPKE STE 100",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032614",
            "telephone_number": "703-941-4111",
            "fax_number": "703-941-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THELEN",
        "first_name": "MICHELLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.