Amina Azam, OD
Individual provider Active NPI Optometrist · Vienna, VA
NPI 1891489787 · NPPES record last updated May 19, 2025
Key facts
- NPI
- 1891489787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 0618003269 (VA)
- Practice address
- 260 Maple Ave E
Vienna, VA 22180-4629 - Phone
- (703) 255-1502
- NPI assigned
- Jun 5, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
260 Maple Ave E
Vienna, VA 22180-4629
Phone (703) 255-1502
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230715000411 | DC | Practitioner - Optometry | 4880054386 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Era Eyecare LLC | Current |
Accepting new patients | |
| Metro Eyes LLC | Optometrist | Current |
Accepting new patients |
| New Era Eyecare, LLC | Optometrist | Current |
Accepting new patients |
| Niyadell, Inc | Past | Accepting new patients | |
| Metro Eyes Vision Care PLLC | Optometrist | Past |
Accepting new patients |
Locations
4660 Kenmore Ave
Ste 101
Alexandria, VA 22304
Phone (703) 751-2800
113 N Washington St
Alexandria, VA 22314
Phone (703) 549-2828
3105 10th St N
Arlington, VA 22201
Phone (703) 243-2500
5718 Union Mill Rd
Clifton, VA 20124
Phone (703) 830-3977
20789 Great Falls Plz
Ste 108
Sterling, VA 20165
Phone (571) 313-1942
256 Maple Ave E
Vienna, VA 22180
Phone (703) 255-1502
260 Maple Ave E
Vienna, VA 22180
Phone (703) 255-1502
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618003269 | VA | Yes |
Addresses
Primary practice location
260 Maple Ave E
Vienna, VA 22180-4629
Mailing address
260 Maple Ave E
Vienna, VA 22180-4629
Phone (703) 255-1502
Other practice location 1
5718 Union Mill Rd
Clifton, VA 20124-1088
Phone (703) 830-3977
Other practice location 2
3105 10th St N
Arlington, VA 22201-2107
Phone (703) 243-2500
Other practice location 3
20789 Great Falls Plz Ste 108
Sterling, VA 20165-2483
Phone (571) 375-7950
Other practice location 4
4660 Kenmore Ave Ste 101
Alexandria, VA 22304-1306
Phone (703) 751-2800
Other practice location 5
113 N Washington St
Alexandria, VA 22314-3022
Phone (703) 549-2828
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.