Active NPI
Myeyedr Optometry of Virginia, PLLC
- Optometrist
- Staunton, VA
National Provider Identifier
1861860587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MYEYEDR OPTOMETRY OF VIRGINIA, PLLC
- Practice address
- 1412 N Augusta St
Staunton, VA 24401-2401 - Phone
- (540) 885-0006
- NPI assigned
- Sep 11, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sue Downes
- Title
- Secretary
- Phone
- (703) 847-8899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1412 N Augusta St
Staunton, VA 24401-2401
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names 1
- MyEyeDr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2301013 | Myeyedr Optometry of Virginia, PLLC | Certificate of waiver | Mar 19, 2028 |
National Provider Directory
National Provider DirectoryLocations
3910 Centreville Rd
Ste 100
Chantilly, VA 20151
Phone (703) 830-6380
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Staunton, VA
- NPI 1194717579
-
- Optometrist
- Lexington, VA
- NPI 1154358547
-
- Optometrist
- Lynchburg, VA
- NPI 1770501546
-
- Optometrist
- Af Academy, CO
- NPI 1417148255
-
- Optometrist
- Thurmont, MD
- NPI 1548338171
-
- Optometrist
- Harrisonburg, VA
- NPI 1154302396
-
- Optometrist
- Chantilly, VA
- NPI 1578083150
-
- Optometrist
- Staunton, VA
- NPI 1972056703
-
- Optometrist
- Charlottesville, VA
- NPI 1487961967
-
- Optometrist
- Alexandria, VA
- NPI 1295387629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653436800000",
"number": "1861860587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 N AUGUSTA ST",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244012401",
"telephone_number": "540-885-0006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYEYEDR OPTOMETRY OF VIRGINIA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-11",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A",
"authorized_official_last_name": "DOWNES",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "703-847-8899"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MyEyeDr.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Staunton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.