Alice S. Oh, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001473 Issued in VA

Practice address

12110 Sunset Hills Rd
#50
Reston, VA 20190-5852

Phone

(703) 834-9777

Fax

(703) 834-8187

NPI assigned

Jun 10, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 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

Specialty

Optometry

Education

Nova Southeastern College of Osteo Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Era Eyecare LLCGroup PAC ID 3577696657, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Era Eyecare LLC

  • Point of Service
  • Clifton, VA
  • NPI 1801108576

  DC

  Medicare reassignment Care Compare group
• New Era Eyecare, LLC

  • Optometrist
  • Sterling, VA
  • NPI 1518361534
  NPD (past)

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": []
}

• Rebecca O'Neill, LCSW
• Kayla O'Sullivan
• Oak Hill Family Practice, P.C.
• Brittany Lynn Oates, PA-C
• Kenneth Odoom, DC
• Christine Seungeun Oh, PHARMD
• Ji Su Oh
• Jason Michael Oliver, PTA
• Sarah Johns Oliver, FNP-BC
• Emily Nicole Ollis, FNP

• All providers in Reston, VA
• Optometrist in Virginia

• 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.

Verify at the official NPI Registry.