Active NPI
Khushboo Patel
- Optometrist
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618002927
- Practice address
- 617 Potomac Station Dr NE Ste a
Leesburg, VA 20176-1817 - Phone
- (703) 669-4646
- NPI assigned
- Apr 21, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 0618002927 | VA | Primary |
Addresses
Primary practice location
617 Potomac Station Dr NE Ste a
Leesburg, VA 20176-1817
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5426 Jefferson Davis Hwy 104
Fredericksburg, VA 22407-2616
Phone (540) 891-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618002927 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Virgnia, PLLC | Optometrist | Current | Accepting new patients |
| Daniel Poth, O.D. and Associates, P.C. | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
| Daniel Poth, O.D. and Associates, P.C. | Optometrist | Current | Accepting new patients |
Locations
4555 Duke St
Alexandria, VA 22304
Phone (703) 370-7111
44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600
5765 Burke Centre Pkwy
Ste L
Burke, VA 22015
Phone (703) 250-2000
14245P Centreville Sq
Centreville, VA 20121
Phone (703) 830-2010
4203 Fairfax Corner Ave E
Fairfax, VA 22030
Phone (703) 266-8400
5809 Leesburg Pike
Falls Church, VA 22041
Phone (866) 693-9336
7367 Atlas Walk Way
Gainesville, VA 20155
Phone (703) 753-7200
617 Potomac Station Dr NE
#A
Leesburg, VA 20176
Phone (703) 669-4646
9419 Lorton Market St
Lorton, VA 22079
Phone (703) 339-9833
11130L South Lakes Dr
Reston, VA 20191
Phone (703) 471-1012
6406 Springfield Plz
Springfield, VA 22150
Phone (703) 451-4577
1515 Stafford Market Pl
Ste 121
Stafford, VA 22556
Phone (540) 657-2020
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
14465 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 494-6184
2700 Potomac Mills Cir
Ste 105
Woodbridge, VA 22192
Phone (703) 494-0660
Organizations & group practices 7
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.
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- NPI 1174933691
-
- Optometrist
- Arlington, VA
- NPI 1548158603
-
- Optometrist
- North Chesterfield, VA
- NPI 1932075983
-
- Optometrist
- Harrisonburg, VA
- NPI 1669854352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1992325823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 POTOMAC STATION DR NE STE A",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201761817",
"telephone_number": "703-669-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KHUSHBOO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-21",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618002927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.