DEENA TAILOR (OD) – Optometrist, NPI 1104356815

DEENA TAILOR (OD) is a healthcare provider. based in Sterling, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0618002579 (VA). The NPI Number for DEENA TAILOR (OD) is 1104356815

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DEENA TAILOR (OD)
NPI
1104356815
Phone
(703) 430-4400
Address
21475 RIDGETOP CIR STE 300
Enumeration Date
14 June 2017
Last Update Date
14 June 2017

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
7035738080
Graduation Year
2017 (9 years ago)
PAC ID
1456623743
Group Practice PAC ID
9638067150
Professional Enrollment ID
I20170822000820
Address ID
VA220315216FA8316XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

Provider Addresses for DEENA TAILOR (OD)

  • 21475 RIDGETOP CIR STE 300

    STERLING, VA 201668580

    Phone: (703) 430-4400

    Type: Location

  • 7310, 17th Avenue, Carole Highlands, Hyattsville, Prince George's County, Maryland, 20783, United States

    HYATTSVILLE, MD 207834327

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $2,178.

Total Amount is formed as General ($2,178) + Research ($0) + Ownership ($0) = $2,178.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($935).

Total Amount

$2,178

General + Research + Ownership

Payments

77

Total payment records

General Amount

$2,178

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2017-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170822000820IOptometryDCTBD
I20170918001718IOptometryVATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina250222$0
92014Established patient complete exam of visual system246195$0
92012Established patient problem focused exam of visual system9880$0
92083Exam of visual field with extended testing5347$0
92004New patient complete exam of visual system4747$0
View full utilization report →

Insurance plans in this area (ZIP 20166)

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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: 9638067150View full group profile
NameSpecialtyState
O P T O M E T R YMD
O P T O M E T R YMD
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YMD
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YNY

Reviews

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Frequently asked questions

Can I cross-check DEENA TAILOR (OD) using NPI 1104356815?
NPI 1104356815 belongs to DEENA TAILOR (OD); compare other details if you need extra assurance.
Would DEENA TAILOR (OD) appear as active to a payer?
You can treat DEENA TAILOR (OD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DEENA TAILOR (OD)?
At a glance, DEENA TAILOR (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DEENA TAILOR (OD)?
Directory geography for DEENA TAILOR (OD) centers on Sterling, Virginia.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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