Individual provider Active NPI

Joseph M Misera, O.D.

  • Optometrist
  • Winchester, VA
National Provider Identifier
1659300945
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000604 Issued in VA
Practice address
1850 Apple Blossom Dr
#S105
Winchester, VA 22601-5187
Phone
(540) 662-5599
Fax
(540) 662-5768
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000604 VA Primary

Addresses

Primary practice location

1850 Apple Blossom Dr
#S105
Winchester, VA 22601-5187

Mailing address

305 Lilys Way
Winchester, VA 22602-7659
Phone (540) 662-5599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130206000046 OH Order and Referring Only - OptometryPractitioner - Optometry 1153362181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Center of Leesburg Optometrist PastSince Jun 18, 2019 Accepting new patients

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659300945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 LILYS WAY",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226027659",
            "telephone_number": "540-662-5599",
            "fax_number": "540-662-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 APPLE BLOSSOM DR",
            "address_2": "#S105",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226015187",
            "telephone_number": "540-662-5599",
            "fax_number": "540-662-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISERA",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.