Individual provider Active NPI

Tuong-Linh T. Hoang-Braley, O.D.

  • Optometrist
  • Fairfax, VA
National Provider Identifier
1982604633
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0601002019 Issued in VA
Practice address
9600 Main St
Ste H
Fairfax, VA 22031-3798
Phone
(703) 764-3937
Fax
(703) 764-3986
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0601002019 VA Primary

Addresses

Primary practice location

9600 Main St
Ste H
Fairfax, VA 22031-3798

Mailing address

9600 Main St
Ste H
Fairfax, VA 22031-3798
Phone (703) 764-3937

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050425001186 DC Practitioner - Optometry 0840239364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visualeyes Optometrists PLLCGroup PAC ID 6406804962, 2 clinicians

Practice addresses (Care Compare)

9600 Main St
Suite H
Fairfax, VA 22031-3798
Phone (703) 764-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0601002019VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visualeyes Optometrists PLLC Optometrist CurrentSince Apr 24, 2019 Accepting new patients
Total Optometric Care Incorporated Optometrist PastSince May 13, 2002 Accepting new patients

Locations

5876 Kingstowne Ctr
Alexandria, VA 22315

9600 Main St
Fairfax, VA 22031
Phone (703) 978-3541

9600 Main St
Ste H
Fairfax, VA 22031
Phone (703) 764-3937

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1982604633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 MAIN ST",
            "address_2": "STE H",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313798",
            "telephone_number": "703-764-3937",
            "fax_number": "703-764-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 MAIN ST",
            "address_2": "STE H",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313798",
            "telephone_number": "703-764-3937",
            "fax_number": "703-764-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG-BRALEY",
        "first_name": "TUONG-LINH",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601002019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.