Active NPI
Myeyedr Optometry of Virginia, PLLC
- Optometrist
- Haymarket, VA
National Provider Identifier
1609713890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MYEYEDR OPTOMETRY OF VIRGINIA, PLLC
- Practice address
- 14921 Heathcote Blvd
Ste 115
Haymarket, VA 20169 - Phone
- (540) 690-6460
- Fax
- (540) 859-1373
- NPI assigned
- May 4, 2026
- Last updated
- May 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sue Ann Downes
- Title
- Secretary
- Phone
- (785) 492-5871
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
14921 Heathcote Blvd
Ste 115
Haymarket, VA 20169
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 VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140828001354 | VA | Part B Supplier - Clinic/Group Practice | 0143448456 |
Receives reassigned benefits from 329 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Tax ID family
- Myeyedr
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Optometrist
- Powhatan, VA
- NPI 1447126693
Locations
14921 Heathcote Blvd
Ste 115
Haymarket, VA 20169
Phone (540) 690-6460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778630400000",
"number": "1609713890",
"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",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14921 HEATHCOTE BLVD",
"address_2": "STE 115",
"city": "HAYMARKET",
"state": "VA",
"postal_code": "20169",
"telephone_number": "540-690-6460",
"fax_number": "540-859-1373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYEYEDR OPTOMETRY OF VIRGINIA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-04",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A",
"authorized_official_last_name": "DOWNES",
"authorized_official_first_name": "SUE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "785-492-5871"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haymarket, VA
- James B Min, MD
- Jeff Moon, DDS
- David Michael Mortvedt, DDS
- Mountain View Internal Medicine and Pediatrics Inc.
- Movak PC (Haymarket Dental Complete Care)
- Nabi and Associates (Haymarket Dental Studio)
- Vivian Nangoyi Nakawala, NP
- Meae Nam
- Christi Nelson
- New Path Counseling Center LLC (New Path Counseling Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.