Individual provider Active NPI

Gurveen Kour

  • Optometrist
  • Stafford, VA
National Provider Identifier
1750140554
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003343 Issued in VA
Practice address
1515 Stafford Market PL Ste 121
Stafford, VA 22556-4531
Phone
(540) 657-2020
Fax
(540) 657-1037
NPI assigned
Mar 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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 0618003343 VA Primary

Addresses

Primary practice location

1515 Stafford Market PL Ste 121
Stafford, VA 22556-4531

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
I20240410002737 DC Practitioner - Optometry 0143668061 Reassigns benefits to 1 organization
I20240415001053 VA Practitioner - Optometry 0143668061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Virginia, PLLCGroup PAC ID 0143448456, 133 clinicians

Practice addresses (Care Compare)

1515 Stafford Market PL
Suite 121
Stafford, VA 22556-4531
Phone (540) 657-2020

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Mar 3, 2024 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PPLC Optometrist CurrentSince Mar 3, 2024 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Ballston Optometry, LLC Optometrist Past Accepting new patients

Locations

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

10338 Bristow Center Dr
Bristow, VA 20136
Phone (703) 392-1010

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

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

10225 Patriot Hwy
Fredericksburg, VA 22407
Phone (540) 891-2020

9419 Lorton Market St
Lorton, VA 22079
Phone (703) 339-9833

9930 Sowder Village Sq
Ste 220
Manassas, VA 20109
Phone (703) 368-2121

9675 Liberia Ave
Ste 108
Manassas, VA 20110
Phone (703) 331-2122

6406 Springfield Plz
Springfield, VA 22150
Phone (703) 451-4577

1515 Stafford Market Pl
Ste 121
Stafford, VA 22556
Phone (540) 657-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

14465 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 494-6184

Organizations & group practices 6

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": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1750140554",
    "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",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 STAFFORD MARKET PL STE 121",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225564531",
            "telephone_number": "540-657-2020",
            "fax_number": "540-657-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUR",
        "first_name": "GURVEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "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": "0618003343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.