Individual provider Active NPI

Dominic Steward

  • Optometrist
  • Vienna, VA
National Provider Identifier
1720839392
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003420 Issued in VA
Practice address
401 Maple Ave W
Vienna, VA 22180-4222
Phone
(703) 938-5544
Fax
(703) 938-5542
NPI assigned
Apr 1, 2024
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618003420 VA Primary

Addresses

Primary practice location

401 Maple Ave W
Vienna, VA 22180-4222

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240717001989 DC Practitioner - Optometry 4789129404 Reassigns benefits to 1 organization
I20250409001078 VA Practitioner - Optometry 4789129404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1648 Boro PL
MC Lean, VA 22102-3612
Phone (703) 506-0000

1841 Fountain Dr
Reston, VA 20190-3326
Phone (703) 264-2020

401 Maple Ave W
Vienna, VA 22180-4222
Phone (703) 938-5544

5809 Leesburg Pike
Falls Church, VA 22041-2301
Phone (866) 693-9336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618003420VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Mar 5, 2025 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients

Locations

2823 Clarendon Blvd
Arlington, VA 22201
Phone (703) 294-6600

4121 Wilson Blvd
Ste 100
Arlington, VA 22203
Phone (703) 525-7474

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

4203 Fairfax Corner Ave E
Fairfax, VA 22030
Phone (703) 266-8400

5809 Leesburg Pike
Falls Church, VA 22041
Phone (866) 693-9336

7511 Leesburg Pike
Ste 101B
Falls Church, VA 22043
Phone (703) 942-5300

13320 Franklin Farm Rd
Ste H
Herndon, VA 20171
Phone (703) 481-5600

1648 Boro Pl
Ste 105B
Mc Lean, VA 22102
Phone (703) 506-0000

1401 Chain Bridge Rd
Ste 103104
McLean, VA 22101

1648 Boro Pl
#105B
McLean, VA 22102

2960 Chain Bridge Rd
Ste 101
Oakton, VA 22124
Phone (703) 865-6890

1841 Fountain Dr
Reston, VA 20190
Phone (703) 264-2020

42015 Village Center Plz
Ste 103
Stone Ridge, VA 20105
Phone (703) 542-8888

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

401 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5544

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1720839392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MAPLE AVE W",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804222",
            "telephone_number": "703-938-5544",
            "fax_number": "703-938-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWARD",
        "first_name": "DOMINIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.