Mita Gupta, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001643 Issued in VA

Practice address

8912 Centreville Rd
Manassas, VA 20110-8455

Phone

(703) 361-6151

Fax

(703) 361-1750

NPI assigned

Jan 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prince William Eye Associates PLLC 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Prince William Eye Associates PLLC

  • Optometrist
  • Manassas, VA
  • NPI 1760562938
  Medicare reassignment Care Compare group NPD
• Dr. W. David Spruill & Associates

  • Optometrist
  • Richmond, VA
  • NPI 1821156282
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1912977646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13109 OAT CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221937010",
            "telephone_number": "804-929-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8912 CENTREVILLE RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108455",
            "telephone_number": "703-361-6151",
            "fax_number": "703-361-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "MITA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912977646",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anshu Singh Guleria, M.D.
• Edwin Woodrow Gunberg, PH.D.
• Amruta D Gunjal
• Emily C Guo, OD
• Arun K Gupta, M.D.
• Neeraj Gupta, MD
• Christin Guretsky, LPC
• Jessica Guruprasad
• Patricia Adkins Guthrie
• Alma Gutierrez

• All providers in Manassas, VA
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.