Individual provider Active NPI

Theodora Vroustouris, OOD

  • Optometrist
  • Falls Church, VA
National Provider Identifier
1598845786
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618 000576 Issued in VA
Practice address
7263E Arlington Blvd
Falls Church, VA 22042-3219
Phone
(703) 573-1200
Fax
(703) 573-1250
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618 000576 VA Primary

Addresses

Primary practice location

7263E Arlington Blvd
Falls Church, VA 22042-3219

Mailing address

7263E Arlington Blvd
Falls Church, VA 22042-3219
Phone (703) 573-1200

Other identifiers 7

IdentifierTypeStateIssuer
286010OtherVAANTHEM-CC
9231676MedicaidVA
286011OtherVAANTHEM-LP
277700OtherVAALLIANCE,MDIPA,MAMSI,OPC
9314-0006OtherVABCBS-CAREFIRST
2119694OtherVAAETNA-HMO
5675449OtherVAAETNA-PPO

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
I20111227000199 DC Practitioner - Optometry 8325214224 Reassigns benefits to 1 organization
I20210429002074 VA Practitioner - Optometry 8325214224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Virginia Doctors of OptometryGroup PAC ID 1759301765, 21 clinicians

Practice addresses (Care Compare)

3 /2 E Main St
Berryville, VA 22611-1337
Phone (540) 955-5051

7249 Arlington Blvd
Falls Church, VA 22042-3219
Phone (703) 573-1200

Merit-based Incentive Payment System (MIPS)

Final score
15 of 100Reported as individual
Quality
30
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618 000576VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Doctors of Optometry Optometrist CurrentSince Jul 1, 1997 Accepting new patients
Sonus-USA, Inc. Past Accepting new patients

Locations

1632 Belle View Blvd
#A
Alexandria, VA 22307

1800 S Bell St
Arlington, VA 22202
Phone (703) 413-1400

2521 Wilson Blvd
Arlington, VA 22201
Phone (703) 522-7676

1700 N Moore St
Ste 1150
Arlington, VA 22209
Phone (703) 524-7111

1235 S Clark St
Ste 200
Arlington, VA 22202
Phone (703) 413-1400

3 E Main St
Berryville, VA 22611
Phone (540) 955-5051

7263E Arlington Blvd
Falls Church, VA 22042
Phone (703) 467-9080

7249 Arlington Blvd
Falls Church, VA 22042
Phone (703) 573-1200

11656 Plaza America Dr
Reston, VA 20190
Phone (703) 467-0359

Organizations & group practices 2

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598845786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7263E ARLINGTON BLVD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423219",
            "telephone_number": "703-573-1200",
            "fax_number": "703-573-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7263E ARLINGTON BLVD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423219",
            "telephone_number": "703-573-1200",
            "fax_number": "703-573-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VROUSTOURIS",
        "first_name": "THEODORA",
        "name_prefix": "Dr.",
        "credential": "OOD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618 000576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-CC",
            "identifier": "286010",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9231676",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-LP",
            "identifier": "286011",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE,MDIPA,MAMSI,OPC",
            "identifier": "277700",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-CAREFIRST",
            "identifier": "9314-0006",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-HMO",
            "identifier": "2119694",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-PPO",
            "identifier": "5675449",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.