Individual provider Active NPI

Adriana Silvia Wiseman, O.D.

  • Low Vision Rehabilitation Optometrist
  • Fort Belvoir, VA
National Provider Identifier
1982817151
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
TA988 Issued in MD
Practice address
9160 Belvoir Woods Pkwy
Fort Belvoir, VA 22060-2703
Phone
(240) 203-9333
Fax
(240) 319-7376
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP1000262 DC
Optometrist 152W00000X 0601001497 VA
Low Vision Rehabilitation Optometrist 152WL0500X OP1000262 DC
Low Vision Rehabilitation Optometrist 152WL0500X 0601001497 VA
Low Vision Rehabilitation Optometrist 152WL0500X TA988 MD Primary
Optometrist 152W00000X TA988 MD

Addresses

Primary practice location

9160 Belvoir Woods Pkwy
Fort Belvoir, VA 22060-2703

Mailing address

PO Box 15189
Chevy Chase, MD 20825-5189
Phone (240) 203-9333

Other practice location 1

9229 Arlington Blvd
Fairfax, VA 22031-2504
Phone (240) 203-9333

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
I20130227000538 DC Practitioner - Optometry 4789839556 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP1000262DCMDOptometrist
TA988MDMDOptometrist
0601001497VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Adriana G. Wiseman, O.D., P.C. Optometrist CurrentSince Jun 16, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: adrianawisemanod@newvision.officeally.direct

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4440 Willard Ave
Apt 1428
Chevy Chase, MD 20815-3773
Phone (240) 203-9333

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982817151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15189",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208255189",
            "telephone_number": "240-203-9333",
            "fax_number": "240-319-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 BELVOIR WOODS PKWY",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220602703",
            "telephone_number": "240-203-9333",
            "fax_number": "240-319-7376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9229 Arlington Blvd",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220312504",
            "country_code": "US",
            "telephone_number": "240-203-9333",
            "fax_number": "240-319-7376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "ADRIANA",
        "middle_name": "SILVIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP1000262",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601001497",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "DC",
            "license": "OP1000262",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "VA",
            "license": "0601001497",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MD",
            "license": "TA988",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA988",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Belvoir, VA

Sources for this page

Verify at the official NPI Registry.