Active NPI
Myeyedr Optometry of Virginia, PLLC
- Optometrist
- Chesterfield, VA
National Provider Identifier
1770321002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MYEYEDR OPTOMETRY OF VIRGINIA, PLLC
- Practice address
- 14422 Hull Street
Chesterfield, VA 23832 - Phone
- (804) 419-3170
- Fax
- (804) 806-7256
- NPI assigned
- Jul 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sue Downes
- Title
- Secretary
- Phone
- (703) 847-8899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
14422 Hull Street
Chesterfield, VA 23832
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names 1
- MyEyeDr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140828001354 | VA | Part B Supplier - Clinic/Group Practice | 0143448456 |
Receives reassigned benefits from 329 practitioners This NPI is an additional NPI on the enrollment |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2313360 | Myeyedr Optometry of Virginia, PLLC | Certificate of waiver | Oct 29, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Myeyedr
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Optometrist
- Falls Church, VA
- NPI 1568359362
-
- Optometrist
- Centreville, VA
- NPI 1588552483
-
- Optometrist
- Haymarket, VA
- NPI 1609713890
-
- Optometrist
- Sterling, VA
- NPI 1639067861
-
- Optometrist
- Ashburn, VA
- NPI 1639837396
-
- Optometrist
- Chesapeake, VA
- NPI 1669820304
-
- Optometrist
- Oakton, VA
- NPI 1699431403
-
- Optometrist
- MC Lean, VA
- NPI 1710643515
-
- Optometrist
- Lorton, VA
- NPI 1710874516
-
- Optometrist
- Lynchburg, VA
- NPI 1720557895
-
- Optometrist
- Vienna, VA
- NPI 1740948561
-
- Optometrist
- Charlottesville, VA
- NPI 1760948848
Locations
14422 Hull Street Rd
Chesterfield, VA 23832
Phone (804) 419-3170
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Maxwell Afb, AL
- NPI 1619968278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721347200000",
"number": "1770321002",
"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": "14422 HULL STREET",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "23832",
"telephone_number": "804-419-3170",
"fax_number": "804-806-7256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYEYEDR OPTOMETRY OF VIRGINIA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-19",
"last_updated": "2024-07-19",
"certification_date": "2024-07-12",
"status": "A",
"authorized_official_last_name": "DOWNES",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "703-847-8899"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MyEyeDr.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.