Active NPI
Chanda Hjelmgren McCarthy, O.D.
- Optometrist
- Sterling, VA
National Provider Identifier
1467782383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618001402
- Practice address
- 22000 Dulles Retail PLZ
Suite 168
Sterling, VA 20166-2512 - Phone
- (703) 421-3322
- NPI assigned
- Dec 29, 2009
- Last updated
- Sep 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618001402 | VA | Primary |
| Optometrist | 152W00000X | OPC 3803 | FL | |
| Optometrist | 152W00000X | OP1000090 | DC |
Addresses
Primary practice location
22000 Dulles Retail PLZ
Suite 168
Sterling, VA 20166-2512
Mailing address
1950 Old Gallows Rd
Suite 520
Vienna, VA 22182-3990
Phone (703) 847-8899
Other names 1
- Chanda Lee Hjelmgren
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP1000090 | DC | MD | Optometrist |
| OPC 3803 | FL | MD | Optometrist |
| 0618001402 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erickson Costello Butler Erickson Optometrist PA | Optometrist | Past | Accepting new patients |
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.
-
dba Eyecare Professionals
- Optometrist
- Lantana, FL
- NPI 1982753133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1467782383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD",
"address_2": "SUITE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823990",
"telephone_number": "703-847-8899",
"fax_number": "703-991-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22000 DULLES RETAIL PLZ",
"address_2": "SUITE 168",
"city": "STERLING",
"state": "VA",
"postal_code": "201662512",
"telephone_number": "703-421-3322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HJELMGREN MCCARTHY",
"first_name": "CHANDA",
"name_prefix": "Ms.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-29",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001402",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 3803",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "DC",
"license": "OP1000090",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHANDA",
"last_name": "HJELMGREN",
"middle_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.