Individual provider Active NPI

Jonathan Look, O.D.

  • Optometrist
  • Alexandria, VA
National Provider Identifier
1609322320
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002592 Issued in VA
Practice address
1632A Belle View Blvd
Alexandria, VA 22307-6531
Phone
(703) 664-9494
NPI assigned
Sep 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011051 IL
Optometrist 152W00000X OP1000363 DC
Optometrist 152W00000X TA2580 MD
Optometrist 152W00000X 0618002592 VA Primary

Addresses

Primary practice location

1632A Belle View Blvd
Alexandria, VA 22307-6531

Mailing address

1800 S Bell St
Ste C1819
Arlington, VA 22202-3559
Phone (703) 847-8899

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171003004390 DC Practitioner - Optometry 1153696125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
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)

1632 A Belle View Blvd
Alexandria, VA 22307-6531
Phone (703) 660-9494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP1000363DCMDOptometrist
046011051ILMDOptometrist
TA2580MDMDOptometrist
0618002592VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Doctors of Optometry Optometrist CurrentSince Feb 11, 2019 Accepting new patients

Locations

1632 Belle View Blvd
#A
Alexandria, VA 22307

1632A Belle View Blvd
Alexandria, VA 22307
Phone (703) 660-9494

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

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

1800 S Bell St
Ste C1819
Arlington, VA 22202
Phone (703) 413-1400

7263 Arlington Blvd
#E
Falls Church, VA 22042

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 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.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1609322320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 S BELL ST",
            "address_2": "STE C1819",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222023559",
            "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": "1632A BELLE VIEW BLVD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223076531",
            "telephone_number": "703-664-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOK",
        "first_name": "JONATHAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011051",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP1000363",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2580",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.