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Myeyedr Optometry of Virginia, PLLC

Organization Active NPI Optometrist · Williamsburg, VA

NPI 1922456672 · NPPES record last updated May 25, 2022

Key facts

NPI
1922456672
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
Legal business name
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC
Practice address
4655 Monticello Ave
Williamsburg, VA 23188-8219
Phone
(757) 259-6823
Fax
(757) 259-6826
NPI assigned
Jun 2, 2016
Organization subpart
No

Authorized official

Name
Sue Downes
Title
Secretary
Phone
(703) 847-8899

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 136

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 136

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Myeyedr Optometry of Virginia, PLLC
4655 Monticello Ave, Williamsburg, VA 23188-8221 · (757) 259-6823		 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignment
Participating since Jul 1, 2014

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140828001354 VA Part B Supplier - Clinic/Group Practice 0143448456 Receives reassigned benefits from 329 practitioners
This NPI is an additional NPI on the enrollment
O20230127001937 VA DME Supplier - Physician - Optometrist 0143448456 Practice locations: Williamsburg, VA

National Provider Directory

Tax ID family
Myeyedr (70 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP		 152W00000X Yes

Addresses

Primary practice location

4655 Monticello Ave
Williamsburg, VA 23188-8219

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other names

  • MyEyeDr. Doing business as

Other providers in Williamsburg, VA

All providers in Williamsburg, VA · Optometrist in Virginia

Sources for this page

Verify at the official NPI Registry.