Individual provider Active NPI

Elizabeth Ji-Hae Choi, OD

  • Optometrist
  • Baltimore, MD
National Provider Identifier
1437775004
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2740 Issued in MD
Practice address
10 N Greene St
Baltimore, MD 21201-1524
Phone
(410) 605-7000
NPI assigned
Jun 19, 2020
Last updated
Apr 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618003004 VA
Optometrist 152W00000X TA2740 MD Primary

Addresses

Primary practice location

10 N Greene St
Baltimore, MD 21201-1524

Mailing address

15215 Torino Way
Woodbine, MD 21797-9486
Phone (443) 867-2957

Other practice location 1

44050 Ashburn Village Blvd
Ste 163
Ashburn, VA 20147-2200
Phone (703) 726-0005

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
I20210811004031 DC Practitioner - Optometry 7911301015 Reassigns benefits to 1 organization
I20220421001999 VA Practitioner - Optometry 7911301015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare About Eyes PLLCGroup PAC ID 9133404858, 3 clinicians

Practice addresses (Care Compare)

9580 Old Keene Mill Rd
Burke, VA 22015-4208
Phone (703) 337-4830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2740MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jan 11, 2022 Accepting new patients
Myeyedr Optometry of Virgnia, PLLC Optometrist CurrentSince Jan 11, 2022 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jan 11, 2022 Accepting new patients
Eyecare About Eyes, PLLC Optometrist CurrentSince May 6, 2024 Accepting new patients

Locations

44050 Ashburn Shopping Plz
Ste 163
Ashburn, VA 20147
Phone (703) 726-0005

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

9580 Old Keene Mill Rd
Burke, VA 22015
Phone (703) 337-4830

3910 Centreville Rd
Ste 100
Chantilly, VA 20151
Phone (703) 830-6377

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1437775004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15215 TORINO WAY",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "217979486",
            "telephone_number": "443-867-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011524",
            "telephone_number": "410-605-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44050 Ashburn Village Blvd",
            "address_2": "Ste 163",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201472200",
            "country_code": "US",
            "telephone_number": "703-726-0005",
            "fax_number": "703-723-7073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "ELIZABETH",
        "middle_name": "JI-HAE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003004",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.