Individual provider Active NPI

Sheebani Bathija Grewal, OD

  • Optometrist
  • Reston, VA
National Provider Identifier
1902894256
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001503 Issued in VA
Practice address
1800 Michael Faraday Dr
Suite 104
Reston, VA 20190-5354
Phone
(703) 537-8157
Fax
(571) 201-8672
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001503 VA Primary

Addresses

Primary practice location

1800 Michael Faraday Dr
Suite 104
Reston, VA 20190-5354

Mailing address

1800 Michael Faraday Dr
Suite 104
Reston, VA 20190-5354
Phone (703) 537-8157

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080516000096 DC Practitioner - Optometry 5294804266 Reassigns benefits to 1 organization
I20250512001023 VA Practitioner - Optometry 5294804266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Institute of RestonGroup PAC ID 7214174689, 2 clinicians

Practice addresses (Care Compare)

1800 Michael Faraday Dr
Suite 104
Reston, VA 20190-5354
Phone (703) 537-8157

44340 Premier PLZ
Suite 130
Ashburn, VA 20147-5074
Phone (703) 562-0040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001503VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashbrook Eyecare, Inc Optometrist CurrentSince Dec 27, 2024 Accepting new patients
Eye Institute of Reston Optometrist CurrentSince Jan 8, 2013 Accepting new patients
Kathleen B. Moore, OD Optometrist PastSince Oct 10, 2021 Accepting new patients

Locations

44340 Premier Plz
Ste 130
Ashburn, VA 20147
Phone (703) 562-0040

1800 Michael Faraday Dr
Ste 104
Reston, VA 20190
Phone (703) 537-8157

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1902894256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MICHAEL FARADAY DR",
            "address_2": "SUITE 104",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905354",
            "telephone_number": "703-537-8157",
            "fax_number": "571-201-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MICHAEL FARADAY DR",
            "address_2": "SUITE 104",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905354",
            "telephone_number": "703-537-8157",
            "fax_number": "571-201-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "SHEEBANI",
        "middle_name": "BATHIJA",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.