THEA ROSSI (OD) – Optometrist, NPI 1104884873

THEA ROSSI (OD) is a healthcare provider. based in Vienna, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT002127 (GA). The NPI Number for THEA ROSSI (OD) is 1104884873

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
THEA ROSSI (OD)
NPI
1104884873
Phone
(703) 847-8899
Address
1950 OLD GALLOWS RD STE 520
Enumeration Date
3 May 2006
Last Update Date
14 May 2025

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
9125540010
Graduation Year
2003 (23 years ago)
PAC ID
3779550157
Group Practice PAC ID
8224261201
Professional Enrollment ID
I20040915000070
Address ID
GA315202912BR4875XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

958 OPTOMETRY in GA

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Provider Addresses for THEA ROSSI (OD)

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone: (703) 847-8899

    Fax: (866) 795-4020

    Type: Mailing

  • 8614 WESTWOOD CENTER DR FL 9

    VIENNA, VA 221822442

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

  • American Eye Care, 6490, Veterans Parkway, Weems Valley, Columbus, Muscogee County, Georgia, 31909, United States

    COLUMBUS, GA 319093790

    Phone: (706) 653-6202

    Fax: (706) 653-9204

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $271.

Total Amount is formed as General ($271) + Research ($0) + Ownership ($0) = $271.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($163).

Total Amount

$271

General + Research + Ownership

Payments

9

Total payment records

General Amount

$271

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2004-09-15

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
I20040915000070IOptometryGATBD

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
92014Established patient complete exam of visual system1717$0
View full utilization report →

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: 8224261201View full group profile

Reviews

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Frequently asked questions

What is the registry number for THEA ROSSI (OD)?
The registry entry for THEA ROSSI (OD) shows NPI 1104884873.
Should I treat THEA ROSSI (OD) as an active provider?
Patients and plans typically see THEA ROSSI (OD) as active in the national extract.
What does the directory say THEA ROSSI (OD) does?
Insurance directories may phrase it differently, but here THEA ROSSI (OD) maps to Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to THEA ROSSI (OD)?
The directory associates THEA ROSSI (OD) with Vienna, Virginia. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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