Active NPI
Alicia Boyles, O.D.
- Optometrist
- Ashburn, VA
National Provider Identifier
1639405194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000453
- Practice address
- 44075 Pipeline PLZ
Ashburn, VA 20147-5889 - Phone
- (703) 724-9948
- Fax
- (703) 724-9949
- NPI assigned
- Oct 19, 2009
- Last updated
- Oct 19, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618000453 | VA | Primary |
Addresses
Primary practice location
44075 Pipeline PLZ
Ashburn, VA 20147-5889
Mailing address
44075 Pipeline PLZ
Ashburn, VA 20147-5889
Phone (703) 724-9948
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
44075 Pipeline PLZ
Suite 205
Ashburn, VA 20147-5890
Phone (703) 724-9948
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618000453 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FS Optometry LLC | Optometrist | Current | Accepting new patients |
| FS Optometry LLC | Past | Accepting new patients |
Locations
44075 Pipeline Plz
Ste 205
Ashburn, VA 20147
Phone (703) 724-9948
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255910400000",
"number": "1639405194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44075 PIPELINE PLZ",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201475889",
"telephone_number": "703-724-9948",
"fax_number": "703-724-9949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44075 PIPELINE PLZ",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201475889",
"telephone_number": "703-724-9948",
"fax_number": "703-724-9949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLES",
"first_name": "ALICIA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-19",
"last_updated": "2009-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618000453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.