DAWN DEVANEY GAMMON (OD) – Optometrist, NPI 1659379345

DAWN DEVANEY GAMMON (OD) is a healthcare provider. based in Fairfax, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0618000679 (VA). The NPI Number for DAWN DEVANEY GAMMON (OD) is 1659379345

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
DAWN DEVANEY GAMMON (OD)
NPI
1659379345
Phone
(202) 409-1385
Address
11641 PINE TREE DR
Enumeration Date
7 July 2005
Last Update Date
20 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7037095400
Graduation Year
1996 (30 years ago)
PAC ID
8123308418
Group Practice PAC ID
1456898782
Professional Enrollment ID
I20170323002030
Address ID
VA201905667RE11921DRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

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Provider Addresses for DAWN DEVANEY GAMMON (OD)

  • 11641, Pine Tree Drive, Fairfax Farms, Fair Oaks, Fairfax (city), Virginia, 22033, United States

    FAIRFAX, VA 220332714

    Phone: (202) 409-1385

    Fax: (703) 865-5438

    Type: Mailing

  • 11900, Market Street, Reston Town Center, Sunset Hills, Reston, Virginia, 20190, United States

    RESTON, VA 201905614

    Phone: (703) 709-5400

    Fax: (703) 709-7716

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $2,650.

Total Amount is formed as General ($2,650) + Research ($0) + Ownership ($0) = $2,650.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Alcon Vision LLC ($2,132).

Total Amount

$2,650

General + Research + Ownership

Payments

26

Total payment records

General Amount

$2,650

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2025-02-03

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
I20170323002030IOptometryDCTBD
I20250203002964IOptometryVATBD

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 22033)

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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: 1456898782View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA

Reviews

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Frequently asked questions

What is the standard ID for DAWN DEVANEY GAMMON (OD) in the U.S.?
In the U.S., DAWN DEVANEY GAMMON (OD) is identified by NPI 1659379345.
Quick check: is DAWN DEVANEY GAMMON (OD) active?
Public NPPES data shows DAWN DEVANEY GAMMON (OD) with an active NPI status right now.
How should patients interpret DAWN DEVANEY GAMMON (OD)'s specialty?
The extract shows Optometrist for DAWN DEVANEY GAMMON (OD). Clinical services aligned with this taxonomy classification.
What city is tied to DAWN DEVANEY GAMMON (OD)?
The directory associates DAWN DEVANEY GAMMON (OD) with Fairfax, Virginia. Check all listed addresses for suites or satellite offices.
Can I export DAWN DEVANEY GAMMON (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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