Active NPI
Alice S. Oh, OD
- Optometrist
- Reston, VA
National Provider Identifier
1851395461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618001473
- Practice address
- 12110 Sunset Hills Rd
#50
Reston, VA 20190-5852 - Phone
- (703) 834-9777
- Fax
- (703) 834-8187
- NPI assigned
- Jun 10, 2005
- Last updated
- Mar 24, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618001473 | VA | Primary |
| Optometrist | 152W00000X | TA1781 | MD |
Addresses
Primary practice location
12110 Sunset Hills Rd
#50
Reston, VA 20190-5852
Mailing address
15478 Meherrin Dr
Centreville, VA 20120-3711
Phone (703) 774-8849
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Nova Southeastern College of Osteo Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5718 Uniion Mill Rd
Clifton, VA 20124-1088
Phone (703) 830-3977
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Era Eyecare, LLC | Optometrist | Past | Accepting new patients |
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": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458777600000",
"number": "1851395461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15478 MEHERRIN DR",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201203711",
"telephone_number": "703-774-8849",
"fax_number": "240-465-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12110 SUNSET HILLS RD",
"address_2": "#50",
"city": "RESTON",
"state": "VA",
"postal_code": "201905852",
"telephone_number": "703-834-9777",
"fax_number": "703-834-8187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OH",
"first_name": "ALICE",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-10",
"last_updated": "2016-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001473",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA1781",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.