DR. NICOLE MARIE ARDURA O.D.
NPI 1104276849
Optometrist in Vienna, VA

Active since June 14, 2016PECOS EnrolledAccepts Medicare Assignment
120 BEULAH RD NE, VIENNA, VA 22180(703) 938-7633(703) 938-4407 Get Directions Write a Review

NPPES record last updated: June 14, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Nicole Marie Ardura O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICOLE MARIE ARDURA O.D. (NPI 1104276849) is an individual optometrist in Vienna, Virginia, licensed in Virginia (0618002500) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104276849
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. NICOLE MARIE ARDURACredential: O.D.
Location Address120 BEULAH RD NEVienna, VA 22180-4745
Mailing Address120 Beulah Rd NeVienna, VA 22180-4745 · (703) 938-7633 · Fax (703) 938-4407
Fax(703) 938-4407
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 14, 2016
NPI 1104276849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in VA · 0618002500
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

120 BEULAH RD NE, Vienna, VA 22180

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicole Marie Ardura O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113214107
PECOS Enrollment IDI20160919001829
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
146 services116 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
25 services24 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
21 services19 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22180 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
120 BEULAH RD NE
VIENNA, VA 22180
Dentist (General Practice)
120 BEULAH RD NE
VIENNA, VA 22180
Dentist (General Practice)
120 BEULAH RD NE
VIENNA, VA 22180
Hospice Care, Community Based
120 BEULAH RD NE, #201
VIENNA, VA 22180
Social Worker (Clinical)
120 BEULAH RD NE, SUITE #201
VIENNA, VA 22180
Social Worker (Clinical)
120 BEULAH RD NE, SUITE 201
VIENNA, VA 22180
Counselor (Mental Health)
120 BEULAH RD NE, SUITE 201
VIENNA, VA 22180
Dentist (General Practice)
120 BEULAH RD NE
VIENNA, VA 22180

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104276849, enumerated as an "individual" on June 14, 2016.

The provider is located at 120 BEULAH RD NE VIENNA, VA 22180 and the phone number is (703) 938-7633.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Blue. Please consult your insurance carrier or call the provider to verify.