Individual provider Active NPI

Christina Jean Dixon, OD

  • Optometrist
  • Stafford, VA
National Provider Identifier
1609899194
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000817 Issued in VA
Practice address
120 Soaring Eagle Dr
Stafford, VA 22556-3903
Phone
(540) 720-0407
Fax
(540) 720-9047
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000817 VA Primary

Addresses

Primary practice location

120 Soaring Eagle Dr
Stafford, VA 22556-3903

Mailing address

120 Soaring Eagle Dr
Stafford, VA 22556-3903
Phone (540) 720-0407

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110228000109 VA Practitioner - Optometry 7012198880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christina J Dixon OD PCGroup PAC ID 1850572629, 2 clinicians

Practice addresses (Care Compare)

120 Soaring Eagle Dr
Stafford, VA 22556-3903
Phone (540) 720-0407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618000817VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Christina J Dixon OD PC Optometrist CurrentSince Oct 17, 2010 Accepting new patients

Locations

120 Soaring Eagle Dr
Stafford, VA 22556
Phone (540) 720-0407

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1609899194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SOARING EAGLE DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225563903",
            "telephone_number": "540-720-0407",
            "fax_number": "540-720-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SOARING EAGLE DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225563903",
            "telephone_number": "540-720-0407",
            "fax_number": "540-720-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "CHRISTINA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.