Individual provider Active NPI

Taylor Kujawa, OD

  • Optometrist
  • Fredericksburg, VA
National Provider Identifier
1477428183
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003575 Issued in VA
Practice address
110 Cambridge St
Fredericksburg, VA 22405-1924
Phone
(540) 371-2020
NPI assigned
Oct 10, 2025
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618003575 VA Primary

Addresses

Primary practice location

110 Cambridge St
Fredericksburg, VA 22405-1924

Mailing address

110 Cambridge St
Fredericksburg, VA 22405-1924
Phone (540) 371-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20251029003266 VA Practitioner - Optometry 9335638477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Eye Centers IncGroup PAC ID 5193710036, 9 clinicians

Practice addresses (Care Compare)

110 Cambridge St
Fredericksburg, VA 22405-1924
Phone (540) 371-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618003575VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Eye Centers, Inc. Optometrist CurrentSince Dec 8, 2025 Accepting new patients
Access Eye Centers, Inc. Optometrist CurrentSince Dec 8, 2025 Accepting new patients

Locations

110 Cambridge St
Fredericksburg, VA 22405
Phone (540) 371-2020

4516 Plank Rd
Fredericksburg, VA 22407
Phone (540) 371-2020

Organizations & group practices 2

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": "1760054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1477428183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CAMBRIDGE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224051924",
            "telephone_number": "540-371-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CAMBRIDGE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224051924",
            "telephone_number": "540-371-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUJAWA",
        "first_name": "TAYLOR",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.