Individual provider Active NPI

Celina Hubert

  • Optometrist
  • Vienna, VA
National Provider Identifier
1952921785
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002877 Issued in VA
Practice address
120 Beulah Rd NE
Vienna, VA 22180-4745
Phone
(703) 938-7633
Fax
(703) 938-4407
NPI assigned
Apr 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP2000508 DC
Optometrist 152W00000X 0618002877 VA Primary

Addresses

Primary practice location

120 Beulah Rd NE
Vienna, VA 22180-4745

Mailing address

120 Beulah Rd NE
Vienna, VA 22180-4745
Phone (703) 938-7633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200601002003 DC Practitioner - Optometry 5395166268 Reassigns benefits to 3 organizations
I20200602000495 VA Practitioner - Optometry 5395166268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
C. Richard Snively, Jr., O.D.,P.C.Group PAC ID 7517093859, 4 clinicians

Practice addresses (Care Compare)

120 Beulah Rd NE
Suite 101
Vienna, VA 22180-4745
Phone (703) 938-7633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP2000508DCMDOptometrist
0618002877VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jun 15, 2020 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of DC, LLC Optometrist CurrentSince Dec 31, 2021 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Dec 31, 2021 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Jun 15, 2020 Accepting new patients
C. Richard Snively, Jr., O.D.,P.C. Optometrist CurrentSince Apr 18, 2023 Accepting new patients
Myeyedr Optometry of DC, LLC Optometrist CurrentSince Dec 31, 2021 Accepting new patients

Locations

1776 G St NW
Ste 104
Washington, DC 20006
Phone (202) 298-6878

650 Massachusetts Ave NW
Washington, DC 20001
Phone (202) 898-1060

233 Pennsylvania Ave SE
Washington, DC 20003
Phone (202) 544-9220

635 Pennsylvania Ave SE
Washington, DC 20003
Phone (202) 546-2838

1744 L St NW
Washington, DC 20036
Phone (202) 463-6300

4555 Duke St
Alexandria, VA 22304
Phone (703) 370-7111

4121 Wilson Blvd
Ste 100
Arlington, VA 22203
Phone (703) 525-7474

2823 Clarendon Blvd
Arlington, VA 22201
Phone (703) 294-6600

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

5765 Burke Centre Pkwy
Ste L
Burke, VA 22015
Phone (703) 250-2000

14245P Centreville Sq
Centreville, VA 20121
Phone (703) 830-2010

4203 Fairfax Corner Ave E
Fairfax, VA 22030
Phone (703) 266-8400

2910 District Ave
Ste 160
Fairfax, VA 22031
Phone (703) 269-9866

5809 Leesburg Pike
Falls Church, VA 22041
Phone (866) 693-9336

9419 Lorton Market St
Lorton, VA 22079
Phone (703) 339-9833

6740 Old McLean Village Dr
McLean, VA 22101
Phone (703) 356-1292

1648 Boro Pl
#105B
McLean, VA 22102

1841 Fountain Dr
Reston, VA 20190
Phone (703) 264-2020

6406 Springfield Plz
Springfield, VA 22150
Phone (703) 451-4577

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

120 Beulah Rd NE
Ste 101
Vienna, VA 22180
Phone (703) 938-7633

120 Beulah Rd NE
Vienna, VA 22180
Phone (703) 938-2000

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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

Organizations & group practices 8

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": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1952921785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BEULAH RD NE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804745",
            "telephone_number": "703-938-7633",
            "fax_number": "703-938-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BEULAH RD NE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804745",
            "telephone_number": "703-938-7633",
            "fax_number": "703-938-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBERT",
        "first_name": "CELINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP2000508",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.