MyEyeDr. – Optometrist, NPI 1154090769

MyEyeDr. is a healthcare provider. based in Vienna, Virginia. specializing in Optometrist. The NPI Number for MyEyeDr. is 1154090769

Main info

Organization
Name
MyEyeDr.
NPI
1154090769
Phone
(703) 847-8899
Address
8614 WESTWOOD CENTER DR FL 9
Authorized Official
SUE DOWNES SECRETARY
Enumeration Date
8 September 2021
Last Update Date
23 May 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness80
Years active:4State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for MyEyeDr.

  • 8614 WESTWOOD CENTER DR FL 9

    VIENNA, VA 221822442

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

  • 308 N MAIN ST

    CYNTHIANA, KY 410311210

    Phone: (859) 234-1424

    Fax: (859) 234-5463

    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: 2022-11-02

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
O20221102000868OPhysician - OptometristKYTBD

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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Reviews

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Frequently asked questions

What is the 10-digit NPI for MyEyeDr.?
MyEyeDr. — NPI 1154090769 — is the standard way to identify this listing.
Is MyEyeDr. still practicing?
MyEyeDr. is currently listed as active in the public NPI registry.
What healthcare role does MyEyeDr. hold?
Scheduling teams often label MyEyeDr. under Optometrist. Clinical services aligned with this taxonomy classification.
Where is MyEyeDr. based?
MyEyeDr. is tied to Vienna, Virginia in the data we show; additional addresses may exist on the full record.
Is the information about MyEyeDr. up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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