Individual provider Active NPI

Kendall Leigh, OD

  • Optometrist
  • Leesburg, VA
National Provider Identifier
1942826565
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002874 Issued in VA
Practice address
900 Sycolin Rd SE Ste 160
Leesburg, VA 20175-7611
Phone
(703) 777-1299
Fax
(703) 777-5645
NPI assigned
Jun 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 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 0618002874 VA Primary

Addresses

Primary practice location

900 Sycolin Rd SE Ste 160
Leesburg, VA 20175-7611

Mailing address

620 Walker Rd
Great Falls, VA 22066-3410

Other practice location 1

4 N Pendleton St
Middleburg, VA 20117-2681
Phone (540) 687-3634

Other practice location 2

9909 Georgetown Pike
Great Falls, VA 22066-2826
Phone (703) 759-0061

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
I20200918000763 VA Practitioner - Optometry 4688092976 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tina Ansari OD and Associates, LLCGroup PAC ID 9133519614, 2 clinicians
Charles W Stine OD PCGroup PAC ID 9830281856, 4 clinicians

Practice addresses (Care Compare)

13934 Estate Manor Dr
Unit J
Gainesville, VA 20155-5951
Phone (703) 594-9099

4 N Pendleton St
Middleburg, VA 20117-2681
Phone (540) 687-3634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charles W Stine OD PC CurrentSince Jan 1, 2026 Accepting new patients
Eye Care Center of Leesburg Optometrist CurrentSince Jun 8, 2021 Accepting new patients
Tina Ansari OD & Associates, LLC Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Aeg Virginia Professional PLLC Optometrist PastSince Aug 9, 2025 Accepting new patients
DRS. Unwalla & Runke, Optometrists P.C. Optometrist PastSince Oct 6, 1992 Accepting new patients

Locations

13934 Estate Manor Dr
Unit J
Gainesville, VA 20155
Phone (703) 594-9099

900 Sycolin Rd SE
Ste 160
Leesburg, VA 20175
Phone (703) 777-1299

4 N Pendleton St
Middleburg, VA 20117
Phone (540) 687-3133

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": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1942826565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 WALKER RD",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220663410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SYCOLIN RD SE STE 160",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201757611",
            "telephone_number": "703-777-1299",
            "fax_number": "703-777-5645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 N Pendleton St",
            "address_purpose": "LOCATION",
            "city": "Middleburg",
            "state": "VA",
            "postal_code": "201172681",
            "country_code": "US",
            "telephone_number": "540-687-3634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9909 Georgetown Pike",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "VA",
            "postal_code": "220662826",
            "country_code": "US",
            "telephone_number": "703-759-0061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIGH",
        "first_name": "KENDALL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.