Individual provider Active NPI

Robert H Warren, O.D.

  • Optometrist
  • Baileys Crossroads, VA
National Provider Identifier
1811922644
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000416 Issued in VA
Practice address
5653 Columbia Pike
Suite 101
Baileys Crossroads, VA 22041-2872
Phone
(703) 578-3600
Fax
(703) 379-6089
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000416 VA Primary

Addresses

Primary practice location

5653 Columbia Pike
Suite 101
Baileys Crossroads, VA 22041-2872

Mailing address

5653 Columbia Pike
Suite 101
Baileys Crossroads, VA 22041-2872
Phone (703) 578-3600

Other identifiers 1

IdentifierTypeStateIssuer
009230408MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260207000401 VA Practitioner - Optometry 5395803175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steer Optical LLCGroup PAC ID 0446497861, 3 clinicians

Practice addresses (Care Compare)

2700 Potomac Mills Cir
Suite 220B
Woodbridge, VA 22192-4625
Phone (703) 490-5275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618000416VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steer Optical LLC CurrentSince Jan 15, 2026 Accepting new patients
Van-Anh T. Nguyen, O.D., P.C Optometrist PastSince Jan 15, 2026 Accepting new patients

Locations

2700 Potomac Mills Cir
Ste 220B
Woodbridge, VA 22192
Phone (703) 490-5275

Organizations & group practices 2

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238716800000",
    "number": "1811922644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5653 COLUMBIA PIKE",
            "address_2": "SUITE 101",
            "city": "BAILEYS CROSSROADS",
            "state": "VA",
            "postal_code": "220412872",
            "telephone_number": "703-578-3600",
            "fax_number": "703-379-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5653 COLUMBIA PIKE",
            "address_2": "SUITE 101",
            "city": "BAILEYS CROSSROADS",
            "state": "VA",
            "postal_code": "220412872",
            "telephone_number": "703-578-3600",
            "fax_number": "703-379-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "ROBERT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009230408",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baileys Crossroads, VA

Sources for this page

Verify at the official NPI Registry.