Individual provider Active NPI

Joy Ann Schmalzle, O.D., F.A.A.O.

  • Optometrist
  • Falls Church, VA
National Provider Identifier
1881639698
Registry record updated Oct 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001257 Issued in VA
Practice address
2919 Wickersham Way Apt 201
Falls Church, VA 22042-2949
Phone
(757) 262-7642
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001257 VA Primary

Addresses

Primary practice location

2919 Wickersham Way Apt 201
Falls Church, VA 22042-2949

Mailing address

2919 Wickersham Way Apt 201
Falls Church, VA 22042-2949
Phone (757) 262-7642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20221031002405 TX Practitioner - Optometry 2668849837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001257VAMDOptometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350172800000",
    "number": "1881639698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 WICKERSHAM WAY APT 201",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422949",
            "telephone_number": "757-262-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 WICKERSHAM WAY APT 201",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422949",
            "telephone_number": "757-262-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMALZLE",
        "first_name": "JOY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D., F.A.A.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2012-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.