Individual provider Active NPI

Danielle Ito, OD

  • Optometrist
  • Glen Allen, VA
National Provider Identifier
1932096526
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0620000058 Issued in VA
Practice address
4144 Innslake Dr
Glen Allen, VA 23060-3344
Phone
(804) 217-9883
NPI assigned
Jun 18, 2025
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0620000058 VA Primary

Addresses

Primary practice location

4144 Innslake Dr
Glen Allen, VA 23060-3344

Mailing address

9600 Beekman LN Apt 1303
Richmond, VA 23228-2248

Other practice location 1

301 N Washington Hwy Ste 102
Ashland, VA 23005-1650
Phone (804) 798-3306

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251001004046 VA Practitioner - Optometry 3577069293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Care of RichmondGroup PAC ID 6103974217, 10 clinicians

Practice addresses (Care Compare)

4114 Innslake Dr
Glen Allen, VA 23060-3344
Phone (804) 217-9883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0620000058VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Care of Richmond Optometrist CurrentSince Aug 1, 2025 Accepting new patients

Locations

301 N Washington Hwy
Ste 102
Ashland, VA 23005
Phone (804) 798-3306

4114 Innslake Dr
Glen Allen, VA 23060
Phone (804) 217-9883

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1932096526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 BEEKMAN LN APT 1303",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232282248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 INNSLAKE DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603344",
            "telephone_number": "804-217-9883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 N Washington Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "VA",
            "postal_code": "230051650",
            "country_code": "US",
            "telephone_number": "804-798-3306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ITO",
        "first_name": "DANIELLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0620000058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.