Active NPI
John Du, O.D.
- Optometrist
- Fairfax, VA
National Provider Identifier
1972880755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618002100
- Practice address
- 10301 New Guinea Rd
Fairfax, VA 22032-3268 - Phone
- (703) 566-1856
- NPI assigned
- Nov 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618002100 | VA | Primary |
Addresses
Primary practice location
10301 New Guinea Rd
Fairfax, VA 22032-3268
Mailing address
10301 New Guinea Rd
Fairfax, VA 22032-3268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10301 New Guinea Rd
Fairfax, VA 22032-3268
Phone (703) 794-5119
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Du OD PC | Optometrist | Current | Accepting new patients |
| Visual Health Doctors of Optometry | Optometrist | Past | Accepting new patients |
Locations
10301 New Guinea Rd
Fairfax, VA 22032
Phone (571) 261-5052
10507 Braddock Rd
Ste B
Fairfax, VA 22032
Phone (571) 470-0112
Organizations & group practices 2
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.
-
- Corneal and Contact Management Optometrist
- Arlington, VA
- NPI 1265974000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1972880755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10301 NEW GUINEA RD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220323268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 NEW GUINEA RD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220323268",
"telephone_number": "703-566-1856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DU",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-08",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618002100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.