Individual provider Active NPI

Keith Harvey Schmidt, O.D.

  • Optometrist
  • Burke, VA
National Provider Identifier
1538159355
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003135 Issued in VA
Practice address
5765 Burke Centre Pkwy
Burke, VA 22015-2264
Phone
(703) 250-9000
NPI assigned
Oct 24, 2005
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618003135 VA Primary
Optometrist 152W00000X OD00004033 WA

Addresses

Primary practice location

5765 Burke Centre Pkwy
Burke, VA 22015-2264

Mailing address

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

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
I20220902000614 DC Practitioner - Optometry 1850524240 Reassigns benefits to 1 organization
I20221006002199 VA Practitioner - Optometry 1850524240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3910 Centreville Rd
Suite 100
Chantilly, VA 20151-3280
Phone (703) 830-6380

44727 Brimfield Dr
Ashburn, VA 20147-5920
Phone (571) 385-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618003135VAMDOptometrist
OD00004033WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia PLLC Optometrist CurrentSince Aug 29, 2022 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Aug 24, 2022 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Aug 24, 2022 Accepting new patients

Locations

44050 Ashburn Shopping Plz
Ste 163
Ashburn, VA 20147
Phone (703) 726-0005

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

10338 Bristow Center Dr
Bristow, VA 20136
Phone (703) 392-1010

5765 Burke Centre Pkwy
Ste L
Burke, VA 22015
Phone (703) 250-2000

14245P Centreville Sq
Centreville, VA 20121
Phone (703) 830-2010

14337 Newbrook Dr
Ste 400
Chantilly, VA 20151
Phone (571) 512-5990

3910 Centreville Rd
Ste 100
Chantilly, VA 20151
Phone (703) 830-6380

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

4203 Fairfax Corner Ave E
Fairfax, VA 22030
Phone (703) 266-8400

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

7367 Atlas Walk Way
Gainesville, VA 20155
Phone (703) 753-7200

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

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1538159355",
    "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": "5765 BURKE CENTRE PKWY",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152264",
            "telephone_number": "703-250-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "KEITH",
        "middle_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003135",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00004033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

Verify at the official NPI Registry.