Myeyedr Optometry of Virginia, PLLC
Organization Active NPI Optometrist · Vienna, VA
NPI 1982592887 · NPPES record last updated Jun 27, 2025
Key facts
- NPI
- 1982592887
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- MYEYEDR OPTOMETRY OF VIRGINIA, PLLC
- Practice address
- 401 Maple Ave W
Vienna, VA 22180-4222 - Phone
- (703) 938-5544
- Fax
- (703) 938-5542
- NPI assigned
- Jun 27, 2025
- Organization subpart
- No
Authorized official
- Name
- Sue Downes
- Title
- Secretary
- Phone
- (703) 847-8899
Other NPIs on the same Medicare enrollment 31
Corporate family (same tax ID) 13
Practitioners 2
-
Alberta Dagobert, OD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2313369 | Myeyedr Optometry of Virginia, PLLC | Certificate of waiver | Oct 29, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160217001559 | DC | Part B Supplier - Clinic/Group Practice | 0143448456 |
Receives reassigned benefits from 188 practitioners 31 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Falls Church, VA; Herndon, VA; Lorton, VA; MC Lean, VA; McLean, DC; Oakton, VA; Reston, VA; Springfield, VA… |
National Provider Directory
- Tax ID family
- Myeyedr
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
401 Maple Ave W
Vienna, VA 22180-4222
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names
- MyEyeDr.
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.