NADEEN AL-GHANDOUR (OD) – Optometrist, NPI 1710401195

NADEEN AL-GHANDOUR (OD) is a healthcare provider. based in Vienna, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0618002549 (VA). The NPI Number for NADEEN AL-GHANDOUR (OD) is 1710401195

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
NADEEN AL-GHANDOUR (OD)
NPI
1710401195
Phone
(703) 847-8899
Address
1950 OLD GALLOWS RD
Enumeration Date
27 July 2017
Last Update Date
23 January 2018

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
7037681677
Graduation Year
2016 (10 years ago)
PAC ID
6305103219
Group Practice PAC ID
4981653433
Professional Enrollment ID
I20171201000649
Address ID
VA223066701AL6756XHWYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

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Provider Addresses for NADEEN AL-GHANDOUR (OD)

  • 1950 OLD GALLOWS RD

    VIENNA, VA 221823990

    Phone: (703) 847-8899

    Fax: (866) 795-4020

    Type: Mailing

  • Jefferson Davis Highway, Fredericksburg, Fredericksburg City, Virginia, 22401-3701, United States

    FREDERICKSBURG, VA 224072616

    Phone: (540) 891-2020

    Fax: (540) 898-5005

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-12-01

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
I20171201000649IOptometryDCTBD
I20171201001813IOptometryVATBD

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: 4981653433View 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 YNJ
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 YPA
O P T O M E T R YVA
-VA

Reviews

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Frequently asked questions

How do I look up NADEEN AL-GHANDOUR (OD) by NPI?
Use NPI 1710401195 when you need to reference NADEEN AL-GHANDOUR (OD) in forms, claims, or directories.
Is NADEEN AL-GHANDOUR (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is NADEEN AL-GHANDOUR (OD)?
The page reflects Optometrist for NADEEN AL-GHANDOUR (OD). Clinical services aligned with this taxonomy classification.
What location metadata exists for NADEEN AL-GHANDOUR (OD)?
The page summarizes Vienna, Virginia for NADEEN AL-GHANDOUR (OD); expand the address list for detail.
How can I contact NADEEN AL-GHANDOUR (OD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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