Individual provider Active NPI

Jodi A Vaughn, O.D.

  • Optometrist
  • Midlothian, VA
National Provider Identifier
1871535070
Registry record updated Jun 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000918 Issued in VA
Practice address
6207 Anna Park Drive 203
Midlothian, VA 23112-4371
Phone
(804) 402-6386
NPI assigned
Jun 12, 2006
Last updated
Jun 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000918 VA Primary

Addresses

Primary practice location

6207 Anna Park Drive 203
Midlothian, VA 23112-4371

Mailing address

6207 Anna Park Drive 203
Midlothian, VA 23112-4371
Phone (804) 402-6386

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
I20230926003344 VA Practitioner - Optometry 7911351804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oatman Nilsen and Associates Optometrists LTDGroup PAC ID 5496840142, 9 clinicians

Practice addresses (Care Compare)

1660 Anderson Hwy
Powhatan, VA 23139-8007
Phone (804) 897-3334

44727 Brimfield Dr
Ashburn, VA 20147-5920
Phone (571) 385-4600

601 N Courthouse Rd
North Chesterfield, VA 23236-4062
Phone (804) 858-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618000918VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Oatman Nilsen & Associates Optometrists LTD Optometrist CurrentSince Jul 11, 2023 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Dec 15, 2025 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Past Accepting new patients

Locations

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

601 N Courthouse Rd
North Chesterfield, VA 23236
Phone (804) 858-2020

1660 Anderson Hwy
Powhatan, VA 23139
Phone (804) 897-3334

3524 W Cary St
Richmond, VA 23221
Phone (804) 750-7113

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 3

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687651200000",
    "number": "1871535070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6207 ANNA PARK DRIVE 203",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124371",
            "telephone_number": "804-402-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6207 ANNA PARK DRIVE 203",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124371",
            "telephone_number": "804-402-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "JODI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-06-25",
        "certification_date": "2023-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.