Individual provider Active NPI

Rema Idriss, OD

  • Optometrist
  • Springfield, VA
National Provider Identifier
1932772944
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003319 Issued in VA
Practice address
8350 Traford LN
Springfield, VA 22152-1664
Phone
(703) 569-6363
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1601 NE
Optometrist 152W00000X 0618003319 VA Primary

Addresses

Primary practice location

8350 Traford LN
Springfield, VA 22152-1664

Mailing address

2005 S Finley Rd Unit 504
Lombard, IL 60148-6490
Phone (402) 301-0726

Other practice location 1

11784 Lee Jackson Mem Hwy
Fairfax, VA 22033
Phone (703) 359-9744

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
I20240903004295 VA Practitioner - Optometry 4284096900 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618003319VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jun 17, 2024 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jun 17, 2024 Accepting new patients
Michael J. Davidson, O.D., P.C. Optometrist PastSince Aug 10, 2025 Accepting new patients
Michael J. Davidson, O.D., P.C. Optometrist PastSince Aug 10, 2025 Accepting new patients

Locations

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

869 John Marshall Hwy
#C
Front Royal, VA 22630
Phone (540) 635-3223

129 E Ferrell St
South Hill, VA 23970
Phone (434) 447-3220

42015 Village Center Plz
Ste 103
Stone Ridge, VA 20105
Phone (703) 542-8888

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

3051 Valley Ave
Ste 102
Winchester, VA 22601
Phone (540) 450-8504

14465 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 494-6184

Organizations & group practices 5

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1932772944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 S FINLEY RD UNIT 504",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486490",
            "telephone_number": "402-301-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 TRAFORD LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521664",
            "telephone_number": "703-569-6363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11784 Lee Jackson Mem Hwy",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "22033",
            "country_code": "US",
            "telephone_number": "703-359-9744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IDRISS",
        "first_name": "REMA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2025-08-05",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1601",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.