Individual provider Active NPI

Patricia Woo, O.D.

  • Optometrist
  • Herndon, VA
National Provider Identifier
1477752665
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001908 Issued in VA
Practice address
709 Pine St
Herndon, VA 20170-4604
Phone
(703) 471-7810
Fax
(703) 471-6549
NPI assigned
Jul 17, 2007
Last updated
Jun 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001908 VA Primary

Addresses

Primary practice location

709 Pine St
Herndon, VA 20170-4604

Mailing address

709 Pine St
Herndon, VA 20170-4604
Phone (703) 471-7810

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
I20101207000509 DC Practitioner - Optometry 5294922951 Reassigns benefits to 2 organizations
I20210210001986 VA Practitioner - Optometry 5294922951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Virginia Doctors of OptometryGroup PAC ID 1759301765, 21 clinicians

Practice addresses (Care Compare)

11656 Plaza America Dr
Reston, VA 20190-4700
Phone (703) 467-9080

3 /2 E Main St
Berryville, VA 22611-1337
Phone (540) 955-5051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Institute of Reston Optometrist CurrentSince Feb 3, 2021 Accepting new patients
Northern Virginia Doctors of Optometry Optometrist CurrentSince Apr 1, 2026 Accepting new patients
Visual Health Doctors of Optometry Optometrist PastSince Feb 1, 2021 Accepting new patients

Locations

3 E Main St
Berryville, VA 22611
Phone (540) 955-5051

11656 Plaza America Dr
Reston, VA 20190
Phone (703) 467-0359

1800 Michael Faraday Dr
Ste 104
Reston, VA 20190
Phone (703) 537-8157

Organizations & group practices 3

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1477752665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 PINE ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704604",
            "telephone_number": "703-471-7810",
            "fax_number": "703-471-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 PINE ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704604",
            "telephone_number": "703-471-7810",
            "fax_number": "703-471-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOO",
        "first_name": "PATRICIA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

Verify at the official NPI Registry.