Individual provider Active NPI

Isha Khosa, O.D.

  • Optometrist
  • Herndon, VA
National Provider Identifier
1740687789
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002377 Issued in VA
Practice address
13320 Franklin Farm Rd Ste H
Herndon, VA 20171-4097
Phone
(703) 481-5600
Fax
(703) 437-4137
NPI assigned
Nov 19, 2014
Last updated
Nov 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002377 VA Primary

Addresses

Primary practice location

13320 Franklin Farm Rd Ste H
Herndon, VA 20171-4097

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20160713000467 VA Practitioner - Optometry 5799077624 Reassigns benefits to 2 organizations
I20180508000233 DC Practitioner - Optometry 5799077624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13320 Franklin Farm Rd
Suite H
Herndon, VA 20171-4097
Phone (703) 481-5600

44727 Brimfield Dr
Ashburn, VA 20147-5920
Phone (571) 385-4600

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
0618002377VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia PLLC Optometrist CurrentSince May 11, 2016 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Nov 8, 2021 Accepting new patients
Dulles Optometry, LLC Optometrist CurrentSince May 11, 2016 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince May 11, 2016 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients

Locations

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

5765 Burke Centre Pkwy
Ste L
Burke, VA 22015
Phone (703) 250-2000

14245P Centreville Sq
Centreville, VA 20121
Phone (703) 830-2010

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

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

869 John Marshall Hwy
#C
Front Royal, VA 22630
Phone (540) 635-3223

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

617 Potomac Station Dr NE
#A
Leesburg, VA 20176
Phone (703) 669-4646

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

22000 Dulles Retail Plz
Ste 168
Sterling, VA 20166
Phone (703) 421-3322

1950 Old Gallows Rd
Ste 100
Vienna, VA 22182

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

3051 Valley Ave
Ste 102
Winchester, VA 22601
Phone (540) 450-8504

Organizations & group practices 7

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": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1740687789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13320 FRANKLIN FARM RD STE H",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714097",
            "telephone_number": "703-481-5600",
            "fax_number": "703-437-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOSA",
        "first_name": "ISHA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-19",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

Verify at the official NPI Registry.