Individual provider Active NPI

Nancy Ann Tanchel, M.D.

  • Ophthalmology Physician
  • Vienna, VA
National Provider Identifier
1629112107
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101225245 Issued in VA
Practice address
8321 Old Courthouse Rd
Liberty Laser Eye Center
Vienna, VA 22182-3817
Phone
(571) 234-5678
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101225245 VA Primary

Addresses

Primary practice location

8321 Old Courthouse Rd
Liberty Laser Eye Center
Vienna, VA 22182-3817

Mailing address

8321 Old Courthouse Rd
Liberty Laser Eye Center
Vienna, VA 22182-3817
Phone (571) 234-5678

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210302002349 DC Practitioner - Ophthalmology 5890101695 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1629112107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8321 OLD COURTHOUSE RD",
            "address_2": "LIBERTY LASER EYE CENTER",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823817",
            "telephone_number": "571-234-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8321 OLD COURTHOUSE RD",
            "address_2": "LIBERTY LASER EYE CENTER",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823817",
            "telephone_number": "571-234-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANCHEL",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101225245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.