Active NPI
Suzanne S Matriccino, O.D.
- Optometrist
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0601000272
- Practice address
- 1450 Sachem PL
Charlottesville, VA 22901-2554 - Phone
- (434) 978-4090
- Fax
- (434) 978-1005
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0601000272 | VA | Primary |
Addresses
Primary practice location
1450 Sachem PL
Charlottesville, VA 22901-2554
Mailing address
1950 Old Gallows Rd
Vienna, VA 22182-3990
Phone (703) 847-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1450 Sachem PL
Charlottesville, VA 22901-2554
Phone (434) 978-4090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0601000272 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia PLLC | Optometrist | Current | Accepting new patients |
Locations
44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600
1450 Sachem Pl
Charlottesville, VA 22901
Phone (434) 973-9744
1450 Sachem Pl
Unit 202
Charlottesvle, VA 22901
Phone (434) 975-4090
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Interoperability endpoints
- suzanne.matriccino.1@20955.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Optometrist
- Ashburn, VA
- NPI 1174933691
-
- Optometrist
- Charlottesville, VA
- NPI 1669830295
-
- Optometrist
- North Chesterfield, VA
- NPI 1932075983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516924800000",
"number": "1609095462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823990",
"telephone_number": "703-847-8899",
"fax_number": "866-795-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 SACHEM PL",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229012554",
"telephone_number": "434-978-4090",
"fax_number": "434-978-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATRICCINO",
"first_name": "SUZANNE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2018-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0601000272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.