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DULLES FAMILY EYECARE LLC
NPI 1124640289
Optometrist in Dulles, VA

Active since May 12, 2020
24635 DULLES LANDING DR, DULLES, VA 20166(703) 270-1190(703) 270-1190 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 26, 2020, May 12, 2020 (2 updates tracked since 2020).

About Dulles Family Eyecare Llc NPPES

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

DULLES FAMILY EYECARE LLC (NPI 1124640289) is a healthcare organization registered as an optometrist in Dulles, Virginia and active in the NPI registry since May 2020. The organization lists Mojgan Haghshenas, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1124640289
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDULLES FAMILY EYECARE LLC
Location Address24635 DULLES LANDING DRDulles, VA 20166-2614
Mailing Address6603 Harness Hill CtCentreville, VA 20121-3817 · (703) 969-8748 · Fax (703) 270-1191
Phone(703) 270-1190
Fax(703) 270-1190
Organization SubpartNo
Authorized OfficialMojgan HaghshenasOptometrist · (703) 270-1190
Enumeration DateMay 12, 2020
Last NPPES UpdateMay 26, 20202 updates tracked since enumeration
NPPES CertifiedMay 26, 2020
✔ NPI 1124640289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
24635 DULLES LANDING DR, Dulles, VA 20166
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dulles Family Eyecare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dulles Family Eyecare LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mojgan Haghshenas, OD
Optometry
NPI 1386678324
14245E CENTREVILLE SQ
Centreville, VA 20121
(703) 830-2010
✔ PECOS✔ Accepts Medicare8.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dulles Family Eyecare LLC's NPI number?

The NPI number for Dulles Family Eyecare LLC is 1124640289. It was assigned to this organization in the NPPES registry on May 12, 2020.

Where is Dulles Family Eyecare LLC located?

Dulles Family Eyecare LLC is located at 24635 Dulles Landing Dr, Dulles, VA 20166. The listed phone number is (703) 270-1190.

What is Dulles Family Eyecare LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Dulles Family Eyecare LLC enrolled in Medicare?

Yes. Dulles Family Eyecare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dulles Family Eyecare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Dulles Family Eyecare LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dulles Family Eyecare LLC was last updated on May 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.