Individual provider Active NPI

Maria Isabella Ortega Roma, OD

  • Optometrist
  • Vienna, VA
National Provider Identifier
1528554664
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002670 Issued in VA
Practice address
8359 Leesburg Pike
Vienna, VA 22182-2492
Phone
(703) 442-9295
NPI assigned
Jul 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002670 VA Primary

Addresses

Primary practice location

8359 Leesburg Pike
Vienna, VA 22182-2492

Mailing address

18002 Golden Spring CT
Olney, MD 20832-1773
Phone (202) 384-5901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20180910001624 DC Practitioner - Optometry 7113277302 Reassigns benefits to 1 organization
I20180919003584 MD Practitioner - Optometry 7113277302 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Poth, O.D. and Associates, P.C. Optometrist CurrentSince Jul 21, 2018 Accepting new patients
Daniel Poth, O.D. and Associates, P.C. Optometrist CurrentSince Jul 21, 2018 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Nov 16, 2022 Accepting new patients
Visionworks Inc. Past Accepting new patients

Locations

15431 Emerald Way
Bowie, MD 20716
Phone (301) 805-6132

631 N Frederick Ave
Gaithersburg, MD 20879
Phone (301) 330-4927

11130L South Lakes Dr
Reston, VA 20191
Phone (703) 471-1012

8359 Leesburg Pike
Vienna, VA 22182
Phone (703) 442-9285

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1528554664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18002 GOLDEN SPRING CT",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321773",
            "telephone_number": "202-384-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8359 LEESBURG PIKE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822492",
            "telephone_number": "703-442-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMA",
        "first_name": "MARIA ISABELLA",
        "middle_name": "ORTEGA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.