Individual provider Active NPI

Robert M Allen, O.D.

  • Optometrist
  • Ashburn, VA
National Provider Identifier
1467424275
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000726 Issued in VA
Practice address
44050 Ashburn Shopping PLZ Ste 163
Ashburn, VA 20147-7915
Phone
(703) 726-0005
NPI assigned
Feb 6, 2006
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 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 0618000726 VA Primary

Addresses

Primary practice location

44050 Ashburn Shopping PLZ Ste 163
Ashburn, VA 20147-7915

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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
I20041109000415 DC Practitioner - Optometry 2365405552 Reassigns benefits to 1 organization
I20120713000312 VA Practitioner - Optometry 2365405552 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Dec 31, 2021 Accepting new patients
Moa Medical Practices PC Optometrist Current Accepting new patients
Moa Mid-Atlantic Chantilly PC Optometrist CurrentSince Feb 1, 2022 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Dec 31, 2021 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Dec 31, 2021 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Dec 31, 2021 Accepting new patients
Associates in Eyecare Stone Ridge PC Optometrist PastSince Oct 23, 2010 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

10338 Bristow Center Dr
Bristow, VA 20136
Phone (703) 392-1010

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

5809 Leesburg Pike
Falls Church, VA 22041
Phone (866) 693-9336

709 Pine St
Herndon, VA 20170
Phone (703) 471-7810

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 9

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1467424275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44050 ASHBURN SHOPPING PLZ STE 163",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477915",
            "telephone_number": "703-726-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2022-08-08",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.