Visual Health Doctors of Optometry
Organization Active NPI Optometrist · Fairfax, VA
NPI 1811243769 · NPPES record last updated Feb 14, 2025
Key facts
- NPI
- 1811243769
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 0618001244 (VA)
- Legal business name
- VISUAL HEALTH DOCTORS OF OPTOMETRY
- Practice address
- 10690 Fairfax Blvd
Fairfax, VA 22030-4379 - Phone
- (703) 273-6323
- Fax
- (703) 273-6325
- NPI assigned
- Jul 30, 2012
- Organization subpart
- No
Authorized official
- Name
- Ashish Chhitwal
- Title
- OD
- Phone
- (703) 273-6323
Corporate family (same tax ID) 3
Practitioners 18
-
Ashish Chhitwal, O.D
-
Sagar Mehra, OD
-
Annmarie Desando, OD
-
Edie Cheung, O.D.
-
Fred Elias Goldberg, O.D.
-
Rohini Mehta, OD
-
Ann L Poloncak, OD
-
Saleha Rana, OD
-
Alan Mach Wong, OD
-
Sukhjinder Kandola, O.D.
-
Nisha Patel, O.D.
-
Solmaz Farajnia, OD
-
Chase Yi, O.D.
-
Peter J Ellis, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120809000697 | DC | Part B Supplier - Clinic/Group Practice | 4385890151 |
Receives reassigned benefits from 15 practitioners Practice locations: Arlington, VA; Herndon, VA; Fairfax, VA; Burke, VA; Alexandria, VA |
National Provider Directory
- Tax ID family
- Visual Health Doctors of Optometry
Locations
2464 Mandeville Ln
Alexandria, VA 22314
Phone (571) 597-1135
730 N Glebe Rd
Arlington, VA 22203
Phone (703) 576-0144
5203 Lyngate Ct
#A
Burke, VA 22015
Phone (703) 754-2015
10690 Fairfax Blvd
Fairfax, VA 22030
Phone (703) 273-6323
297 Herndon Pkwy
Herndon, VA 20170
494 Elden St
Ste 2
Herndon, VA 20170
Phone (571) 520-2130
1340 Old Chain Bridge Rd
Ste 1
Mc Lean, VA 22101
1927 Old Gallows Rd
Vienna, VA 22182
Phone (703) 748-2015
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 0618001244 | VA | Yes |
Addresses
Primary practice location
10690 Fairfax Blvd
Fairfax, VA 22030-4379
Mailing address
10690 Fairfax Blvd
Fairfax, VA 22030-4321
Phone (703) 273-6323
Other practice location 1
3012 Wilson Blvd
Arlington, VA 22201-3810
Phone (703) 566-1856
Other practice location 2
730 N Glebe Rd
Arlington, VA 22203-2257
Phone (703) 576-0144
Other practice location 3
5203 Lyngate Ct # A
Burke, VA 22015-1632
Phone (703) 971-2021
Other practice location 4
2464 Mandeville Ln
Alexandria, VA 22314-4663
Phone (571) 597-1135
Other practice location 5
494 Elden St Ste 2
Herndon, VA 20170-4543
Phone (571) 520-2130
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.