Individual provider Active NPI

Eric Marcus Kraff, O.D.

  • Optometrist
  • Arlington, VA
National Provider Identifier
1679009443
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002566 Issued in VA
Practice address
3800 Fairfax Dr Ste 1
Arlington, VA 22203-1703
Phone
(703) 522-3454
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 0618002566 VA Primary

Addresses

Primary practice location

3800 Fairfax Dr Ste 1
Arlington, VA 22203-1703

Mailing address

807 Settlers Rd
Tampa, FL 33613-1622
Phone (813) 598-8532

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171018000427 DC Practitioner - Optometry 2365718400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Vision Associates Optometry PLLCGroup PAC ID 3678570702, 2 clinicians

Practice addresses (Care Compare)

3800 N Fairfax Dr
Suite 1
Arlington, VA 22203-1711
Phone (703) 522-3454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002566VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Vision Associates Optometry PLLC Optometrist CurrentSince Sep 4, 2017 Accepting new patients
Larry N London OD PastSince Sep 4, 2017 Accepting new patients

Locations

3800 Fairfax Dr
Ste 1
Arlington, VA 22203
Phone (703) 522-3454

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1679009443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 SETTLERS RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131622",
            "telephone_number": "813-598-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 FAIRFAX DR STE 1",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031703",
            "telephone_number": "703-522-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAFF",
        "first_name": "ERIC",
        "middle_name": "MARCUS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.