Active NPI
Adriana Silvia Wiseman, O.D.
- Low Vision Rehabilitation Optometrist
- Fort Belvoir, VA
National Provider Identifier
1982817151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- License
- TA988
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130227000538 | DC | Practitioner - Optometry | 4789839556 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP1000262 | DC | MD | Optometrist |
| TA988 | MD | MD | Optometrist |
| 0601001497 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adriana G. Wiseman, O.D., P.C. | Optometrist | Current | Accepting new patients |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.