Individual provider Active NPI

Jing Guo, O.D.

  • Optometrist
  • Washington, DC
National Provider Identifier
1487630067
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP1000013 Issued in DC
Practice address
650 Massachusetts Ave NW Ste 140
Washington, DC 20001-3796
Phone
(202) 898-1060
Fax
(202) 898-0472
NPI assigned
Dec 15, 2005
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X DA2396 MD
Optometrist 152W00000X 0618000958 VA
Optometrist 152W00000X OP1000013 DC Primary

Addresses

Primary practice location

650 Massachusetts Ave NW Ste 140
Washington, DC 20001-3796

Mailing address

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

Other practice location 1

14700 Baltimore Ave Unit 109
Laurel, MD 20707-4878
Phone (301) 245-3903

Other practice location 2

1841 Fountain Dr
Reston, VA 20190-3326
Phone (703) 264-2020

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
I20051219000648 DC Practitioner - Optometry 2567484561 Reassigns benefits to 2 organizations
I20111005000897 VA Practitioner - Optometry 2567484561 Reassigns benefits to 1 organization
Practice locations: Manassas, VA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP1000013DCMDOptometrist
DA2396MDMDOptometrist
0618000958VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of DC, LLC Optometrist CurrentSince Apr 1, 2016 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Oct 15, 2017 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Oct 15, 2017 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of DC, LLC Optometrist CurrentSince Apr 1, 2016 Accepting new patients
Myeyedr Optometry of DC, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Oct 15, 2017 Accepting new patients

Locations

1330 Connecticut Ave NW
Washington, DC 20036
Phone (202) 785-5700

1744 L St NW
Washington, DC 20036
Phone (202) 463-6300

233 Pennsylvania Ave SE
Washington, DC 20003
Phone (202) 544-9220

3418 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 547-0956

650 Massachusetts Ave NW
Washington, DC 20001
Phone (202) 898-1060

650 Massachusetts Ave NW
Ste 140
Washington, DC 20001
Phone (202) 898-1060

4555 Duke St
Alexandria, VA 22304
Phone (703) 370-7111

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

2910 District Ave
Ste 160
Fairfax, VA 22031
Phone (703) 269-9866

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

1841 Fountain Dr
Reston, VA 20190
Phone (703) 264-2020

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

401 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5544

8369 Leesburg Pike
Ste A
Vienna, VA 22182
Phone (703) 506-0000

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 8

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1487630067",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MASSACHUSETTS AVE NW STE 140",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013796",
            "telephone_number": "202-898-1060",
            "fax_number": "202-898-0472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14700 Baltimore Ave Unit 109",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207074878",
            "country_code": "US",
            "telephone_number": "301-245-3903",
            "fax_number": "301-371-3983",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1841 Fountain Dr",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201903326",
            "country_code": "US",
            "telephone_number": "703-264-2020",
            "fax_number": "703-481-9474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUO",
        "first_name": "JING",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "DA2396",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000958",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP1000013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.