Individual provider Active NPI

William Dodge Perry, O.D.

  • Optometrist
  • Baileys Crossroads, VA
National Provider Identifier
1730340209
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001754 Issued in VA
Practice address
5653 Columbia Pike Ste 101
Baileys Crossroads, VA 22041-2874
Phone
(703) 578-3600
Fax
(703) 379-6089
NPI assigned
Jun 18, 2008
Last updated
Jun 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001754 VA Primary

Addresses

Primary practice location

5653 Columbia Pike Ste 101
Baileys Crossroads, VA 22041-2874

Mailing address

5653 Columbia Pike Ste 101
Baileys Crossroads, VA 22041-2874
Phone (703) 578-3600

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
I20081023000030 DC Practitioner - Optometry 2567520349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Ralph a Swetlow LTDGroup PAC ID 2668530437, 4 clinicians

Practice addresses (Care Compare)

5653 Columbia Pike
Suite 101
Baileys Crossroads, VA 22041-2874
Phone (703) 578-3600

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
80.81
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001754VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Ralph a Swetlow LTD CurrentSince Jul 1, 2008 Accepting new patients

Locations

5653 Columbia Pike
Ste 101
Falls Church, VA 22041
Phone (703) 578-3600

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, 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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1730340209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5653 COLUMBIA PIKE STE 101",
            "city": "BAILEYS CROSSROADS",
            "state": "VA",
            "postal_code": "220412874",
            "telephone_number": "703-578-3600",
            "fax_number": "703-379-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5653 COLUMBIA PIKE STE 101",
            "city": "BAILEYS CROSSROADS",
            "state": "VA",
            "postal_code": "220412874",
            "telephone_number": "703-578-3600",
            "fax_number": "703-379-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "WILLIAM",
        "middle_name": "DODGE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baileys Crossroads, VA

Sources for this page

Verify at the official NPI Registry.