Unknown Individual – Optometrist, NPI 1154364842
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1950 OLD GALLOWS RD STE 520
VIENNA, VA 221823970
Phone: (703) 847-8899
Fax: (866) 795-4020
Type: Mailing
12101 Winchester Rd Ste 102
Lavale, MD 215027688
Phone: (301) 722-6480
Fax: (301) 722-6294
Type: Location
3309, Forestville Place, Phelps, Forestville, Prince George's County, Maryland, 20747, United States
FORESTVILLE, MD 207474409
Phone: (301) 420-6610
Fax: (301) 735-0294
Type: Location
920 W MAIN ST
BRIDGEPORT, WV 263301651
Phone: (304) 842-4444
Fax: (304) 842-4491
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $621.
Total Amount is formed as General ($621) + Research ($0) + Ownership ($0) = $621.
Last reported payment date: 2024-03-25 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($313).
Total Amount
$621
General + Research + Ownership
Payments
19
Total payment records
General Amount
$621
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $313 |
| Alcon Vision LLC | $156 |
| Oyster Point Pharma, Inc. | $86 |
| Johnson & Johnson Vision Care, Inc. | $52 |
| CooperVision Inc. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 45 | 34 | $0 |
| 92250 | Photography of the retina | 27 | 27 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 23 | $0 |
Insurance plans in this area (ZIP 22182)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | WV | |
| O P T O M E T R Y | WV | |
| O P T O M E T R Y | WV | |
| O P T O M E T R Y | WV | |
| - | WV | |
| - | WV | |
| O P T O M E T R Y | WV | |
| - | WV | |
| O P T O M E T R Y | WV | |
| O P T O M E T R Y | VA |
Reviews
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