Individual provider Active NPI

Lisa Huynh, OD

  • Optometrist
  • Manassas, VA
National Provider Identifier
1831811108
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003153 Issued in VA
Practice address
8300 Sudley Rd # a-6
Manassas, VA 20109-3458
Phone
(703) 257-7580
NPI assigned
Sep 14, 2022
Last updated
Sep 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618003153 VA Primary

Addresses

Primary practice location

8300 Sudley Rd # a-6
Manassas, VA 20109-3458

Mailing address

507 Sugarland Run Dr
Sterling, VA 20164-1177
Phone (703) 338-9632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20221201000543 VA Practitioner - Optometry 2769850361 Reassigns benefits to 3 organizations
I20240214002623 DC Practitioner - Optometry 2769850361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2672 Avenir PL
Vienna, VA 22180-7193
Phone (703) 297-4137

2910 District Ave
Suite 160
Fairfax, VA 22031-2284
Phone (703) 269-9866

5765 Burke Centre Pkwy
Suite L
Burke, VA 22015-2264
Phone (703) 250-9000

5809 Leesburg Pike
Falls Church, VA 22041-2301
Phone (866) 693-9336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Dec 30, 2023 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Peter T Pham OD, PLLC Optometrist CurrentSince Dec 13, 2022 Accepting new patients
Dr Peter T Pham & Associates Optometrist CurrentSince Oct 3, 2022 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Dec 30, 2023 Accepting new patients

Locations

4555 Duke St
Alexandria, VA 22304
Phone (703) 370-7111

2823 Clarendon Blvd
Arlington, VA 22201
Phone (703) 294-6600

4121 Wilson Blvd
Ste 100
Arlington, VA 22203
Phone (703) 525-7474

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

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

2910 District Ave
Ste 160
Fairfax, VA 22031
Phone (703) 269-9866

4203 Fairfax Corner Ave E
Fairfax, VA 22030
Phone (703) 266-8400

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

7511 Leesburg Pike
Ste 101B
Falls Church, VA 22043
Phone (703) 942-5300

14044 Promenade Commons St
Gainesville, VA 20155
Phone (571) 248-6246

8300 Sudley Rd
Ste I6
Manassas, VA 20109
Phone (703) 257-7580

8327 Sudley Rd
Manassas, VA 20109
Phone (703) 257-7500

1648 Boro Pl
#105B
McLean, VA 22102

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

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

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

401 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5544

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 7

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": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1831811108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 SUGARLAND RUN DR",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201641177",
            "telephone_number": "703-338-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 SUDLEY RD # A-6",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201093458",
            "telephone_number": "703-257-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.