Organization Active NPI

Eye Pro

  • Optometrist
  • Haymarket, VA
National Provider Identifier
1447501606
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000053 Issued in VA
Legal business name
EYE PRO
Practice address
6530 Trading SQ
Haymarket, VA 20169-2278
Phone
(703) 754-1113
Fax
(703) 754-1121
NPI assigned
Sep 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Daniel David Goerl, ODNPI 1700115490
Title
Optometrist
Phone
(703) 754-1113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618000053 VA Primary

Addresses

Primary practice location

6530 Trading SQ
Haymarket, VA 20169-2278

Mailing address

1604 Pondview Dr
Winchester, VA 22601-2853
Phone (703) 398-4572

Other practice location 1

1334B N Fraser St
Georgetown, SC 29440-2800
Phone (843) 945-0843

Other practice location 2

501 Wal Mart Dr
Winchester, VA 22603-3937
Phone (540) 535-2096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130418000382 VA Part B Supplier - Clinic/Group Practice 8628214566 Receives reassigned benefits from 1 practitioner
Practice locations: Haymarket, VA

National Provider Directory

National Provider Directory

Locations

6530 Trading Sq
#3077
Haymarket, VA 20169

501 Wal Mart Dr
#3344
Winchester, VA 22603

501 Wal Mart Dr
Winchester, VA 22603
Phone (540) 535-0602

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1447501606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 PONDVIEW DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012853",
            "telephone_number": "703-398-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 TRADING SQ",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201692278",
            "telephone_number": "703-754-1113",
            "fax_number": "703-754-1121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1334B N Fraser St",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294402800",
            "country_code": "US",
            "telephone_number": "843-945-0843",
            "fax_number": "843-315-3545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Wal Mart Dr",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226033937",
            "country_code": "US",
            "telephone_number": "540-535-2096",
            "fax_number": "703-890-3027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYE PRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "GOERL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "703-754-1113",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haymarket, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.