Payal Kothari

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618003607 Issued in VA

Practice address

927 Maple Grove Dr Ste 209
Fredericksburg, VA 22407-6936

Phone

(540) 208-5827

Fax

(540) 318-7844

NPI assigned

Dec 20, 2017

Last updated

Sep 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, MD, VA3 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 3

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peninsula Eye Center PAGroup PAC ID 0244314235, 5 clinicians

David M Harman MD LLCGroup PAC ID 6305828062, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019

Merit-based Incentive Payment System (MIPS)

Final score

93.43 of 100Reported as group

Quality

100

Improvement activities

40

Cost

78.11

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/4OYUY6GG

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David M Harman MD LLC

  dba Brian Looney, OD

  • Ophthalmology Physician
  • Forest, VA
  • NPI 1306950431

  Optometrist

  Medicare reassignment Care Compare group NPD
• Peninsula Eye Center PA

  • Ophthalmology Physician
  • Salisbury, MD
  • NPI 1164546974
  Medicare reassignment Care Compare group NPD
• Empire Vision Center Inc

  dba Davis Vision

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  Medicare reassignment NPD
• Vista Eye Specialists PC

  • Ophthalmology Physician
  • Locust Grove, VA
  • NPI 1649408253
  NPD
• Empire Vision Center, Inc

  dba Visionworks

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD
• Peninsula Eye Center, P.a

  dba Peninsula Cataract & Laser Center

  • Ambulatory Surgical Clinic/Center
  • Salisbury, MD
  • NPI 1811059306
  NPD
• Peninsula Eye Center, P.a.

  dba Peninsula Eye Surgeons

  • Durable Medical Equipment & Medical Supplies
  • Salisbury, MD
  • NPI 1962536896
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tidalhealth Peninsula Regional, Inc.

  • General Acute Care Hospital
  • Salisbury, MD
  • NPI 1780689463
  Care Compare affiliation

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1922514314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45923",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212975923",
            "telephone_number": "877-969-0392",
            "fax_number": "804-658-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 MAPLE GROVE DR STE 209",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076936",
            "telephone_number": "540-208-5827",
            "fax_number": "540-318-7844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Milford St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218046952",
            "country_code": "US",
            "telephone_number": "410-749-9290",
            "fax_number": "410-543-9087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18460 Crossroad Pkwy",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227014112",
            "country_code": "US",
            "telephone_number": "540-208-5827",
            "fax_number": "540-318-7844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTHARI",
        "first_name": "PAYAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003607",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008715",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Korankye
• Chelsea Sue Koskovich, AGACNP-BC
• Elizabeth Miranda Koss, MPT
• William Robert Kossol, OD
• Jennifer R Kost-Phillips, DO
• Jayarathne Kottage, MD
• Gina Marie Kotwicki, PT
• Stefan Kovacevic, MD
• Michele Anne Kozlowski, LPC
• Eric Lawrence Krivitsky, M.D.

• Optometrist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.