DR. MAURY I DISKIN (O.D.) – Optometrist, NPI 1104007517

DR. MAURY I DISKIN (O.D.) is a healthcare provider. based in Vienna, Virginia. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 6740T (TX). The NPI Number for DR. MAURY I DISKIN (O.D.) is 1104007517

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. MAURY I DISKIN (O.D.)
NPI
1104007517
Phone
(703) 847-8899
Address
1950 OLD GALLOWS RD STE 520
Enumeration Date
14 November 2007
Last Update Date
29 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2103088565
Graduation Year
2005 (21 years ago)
PAC ID
1355512294
Group Practice PAC ID
1557532488
Professional Enrollment ID
I20110926000178
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MAURY I DISKIN (O.D.)

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

  • Walmart Supercenter, 10001, Woodlands Parkway, Sterling Ridge, Spring, Montgomery County, Texas, 77382, United States

    THE WOODLANDS, TX 773822888

    Phone: (281) 419-1282

    Fax: (281) 419-6844

    Type: Location

  • 255 E BASSE RD STE 330

    SAN ANTONIO, TX 782098343

    Phone: (210) 308-8565

    Fax: (210) 525-8317

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $264.

Total Amount is formed as General ($264) + Research ($0) + Ownership ($0) = $264.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: CooperVision Inc. ($115).

Total Amount

$264

General + Research + Ownership

Payments

11

Total payment records

General Amount

$264

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110926000178IOptometryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22182)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557532488View full group profile
NameSpecialtyState
-TX

Reviews

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Frequently asked questions

Does DR. MAURY I DISKIN (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MAURY I DISKIN (O.D.) uses 1104007517.
Can I rely on DR. MAURY I DISKIN (O.D.) being an active provider?
As of the registry snapshot, DR. MAURY I DISKIN (O.D.) is marked active.
What is DR. MAURY I DISKIN (O.D.)'s primary classification?
Optometrist is the headline specialty for DR. MAURY I DISKIN (O.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MAURY I DISKIN (O.D.)?
DR. MAURY I DISKIN (O.D.)'s geographic hint is Vienna, Virginia in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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