Individual provider Active NPI

Carl J Leto, MD

  • Ophthalmology Physician
  • Vienna, VA
National Provider Identifier
1528136512
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Practice address
8150 Leesburg Pike
Suite 909
Vienna, VA 22182-2714
Phone
(703) 790-1780
Fax
(703) 734-0491
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X VA Primary

Addresses

Primary practice location

8150 Leesburg Pike
Suite 909
Vienna, VA 22182-2714

Mailing address

8150 Leesburg Pike
Vienna, VA 22182-2714
Phone (703) 790-1780

Other identifiers 1

IdentifierTypeStateIssuer
6368492MedicaidVA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100406000256 DC Practitioner - Ophthalmology 7012088404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tufts University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tysons Corner Ophthalmic Associates, LTDGroup PAC ID 2668543059, 5 clinicians

Practice addresses (Care Compare)

8150 Leesburg Pike
Suite 909
Vienna, VA 22182-2714
Phone (703) 790-1780

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
101030307VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tysons Corner Ophthalmic Associates, LTD Ophthalmology CurrentSince Aug 1, 2002 Accepting new patients

Locations

3020 Hamaker Ct
Ste 503
Fairfax, VA 22031
Phone (703) 698-2020

8150 Leesburg Pike
Vienna, VA 22182
Phone (703) 214-5888

8150 Leesburg Pike
Ste 909
Vienna, VA 22182
Phone (703) 790-1780

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528136512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 LEESBURG PIKE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822714",
            "telephone_number": "703-790-1780",
            "fax_number": "703-734-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 LEESBURG PIKE",
            "address_2": "SUITE 909",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822714",
            "telephone_number": "703-790-1780",
            "fax_number": "703-734-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETO",
        "first_name": "CARL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6368492",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.