Individual provider Active NPI

Columbia Herzlinger, OD

  • Optometrist
  • Herndon, VA
National Provider Identifier
1750810396
Registry record updated Jan 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002572 Issued in VA
Practice address
13320 Franklin Farm Rd Ste H
Herndon, VA 20171
Phone
(703) 481-5600
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002572 VA Primary

Addresses

Primary practice location

13320 Franklin Farm Rd Ste H
Herndon, VA 20171

Mailing address

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

Other practice location 1

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

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
I20171120000327 DC Practitioner - Optometry 2264798651
I20171130000130 VA Practitioner - Optometry 2264798651 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002572VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Sep 26, 2017 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Sep 26, 2017 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

7367 Atlas Walk Way
Gainesville, VA 20155
Phone (703) 753-7200

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

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

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

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

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

251 W Lee Hwy
Ste 632
Warrenton, VA 20186
Phone (540) 428-3937

Organizations & group practices 3

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548460800000",
    "number": "1750810396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "20171",
            "telephone_number": "703-481-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13320 Franklin Farm Rd Ste H",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "20171",
            "country_code": "US",
            "telephone_number": "703-481-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERZLINGER",
        "first_name": "COLUMBIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2019-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

Verify at the official NPI Registry.