Individual provider Active NPI

Courtney Shay, OD

  • Optometrist
  • Burke, VA
National Provider Identifier
1477818078
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002129 Issued in VA
Practice address
9314 Old Keene Mill Rd Ste a
Burke, VA 22015-4284
Phone
(703) 569-3131
NPI assigned
Jul 10, 2012
Last updated
Jul 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 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 0618002129 VA Primary

Addresses

Primary practice location

9314 Old Keene Mill Rd Ste a
Burke, VA 22015-4284

Mailing address

9314 Old Keene Mill Rd Ste a
Burke, VA 22015-4284
Phone (703) 569-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20130117000206 DC Practitioner - Optometry 3577716844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Eyecare Center PCGroup PAC ID 0648332155, 6 clinicians

Practice addresses (Care Compare)

9314 Old Keene Mill Rd
Burke, VA 22015-4284
Phone (703) 569-3131

Merit-based Incentive Payment System (MIPS)

Final score
99.8 of 100Reported as group
Quality
99.6
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002129VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Eyecare Center, P.C. Optometrist CurrentSince Aug 21, 2012 Accepting new patients

Locations

9314 Old Keene Mill Rd
Ste A
Burke, VA 22015
Phone (703) 569-3131

Interoperability endpoints

  • Direct secure messaging: drshay@virginiaeyecarecenter.eyeclinicdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1477818078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9314 OLD KEENE MILL RD STE A",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154284",
            "telephone_number": "703-569-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9314 OLD KEENE MILL RD STE A",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154284",
            "telephone_number": "703-569-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAY",
        "first_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

Verify at the official NPI Registry.