Courtney D. Thelen, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

061800120 Issued in VA

Practice address

7630 Little River Tpke Ste 100
Annandale, VA 22003-2614

Phone

(703) 941-4111

Fax

(703) 941-3929

NPI assigned

Jul 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Drsthelen PCGroup PAC ID 9032111984, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Drsthelen PC

  • Optometrist
  • Annandale, VA
  • NPI 1871631770

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639177108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 LITTLE RIVER TPKE",
            "address_2": "SUITE B",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032839",
            "telephone_number": "703-941-4111",
            "fax_number": "703-941-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 LITTLE RIVER TPKE STE 100",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032614",
            "telephone_number": "703-941-4111",
            "fax_number": "703-941-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THELEN",
        "first_name": "COURTNEY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "VA",
            "license": "061800120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Kennemer Thatcher, MSW
• The 7Q Foundation
• The Foot Doctor, PLLC
• The Medical Clinic
• The Sweet Life Nutrition LLC
• Michelle Elizabeth Thelen, OD
• Thien V Le DDS PC
• Jonathan Erick Thomas, DPT
• Catherine Elizabeth Thompson, M. EDU, CCC-SLP
• Danielle A Thompson

• Corneal and Contact Management Optometrist in Annandale, VA
• Providers in Annandale, VA by specialty
• Corneal and Contact Management Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.