MINAMI KUROSE OD
NPI 1134624240
Optometrist in Fairfax, VA

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment
2910 DISTRICT AVE STE 160, FAIRFAX, VA 22031(703) 269-9866(703) 269-9865 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2022, Mar 29, 2018 (2 updates tracked since 2018).

About Minami Kurose Od NPPES

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

MINAMI KUROSE OD (NPI 1134624240) is an individual optometrist in Fairfax, Virginia, licensed in Virginia (0618003062) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2017).

NPPES Registry Identity

NPI1134624240
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMINAMI KUROSECredential: OD
Location Address2910 DISTRICT AVE STE 160Fairfax, VA 22031-2284
Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970
Fax(703) 269-9865
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2017
Enumeration DateMarch 29, 2018
Last NPPES UpdateJanuary 20, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2022
NPI 1134624240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in VA · 0618003062 Licensed in IL · 046011167
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.
2910 DISTRICT AVE STE 160, Fairfax, VA 22031

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

Minami Kurose Od 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 ID7012264658
PECOS Enrollment IDI20211220000828
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 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 2

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

Optometrist
2910 DISTRICT AVE STE 160
FAIRFAX, VA 22031
Optometrist
2910 DISTRICT AVE STE 160
FAIRFAX, VA 22031

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 Minami Kurose's NPI number?

The NPI number for Minami Kurose is 1134624240. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Minami Kurose located?

Minami Kurose practices at 2910 District Ave Ste 160, Fairfax, VA 22031. The listed phone number is (703) 269-9866.

What is Minami Kurose's specialty?

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

Is Minami Kurose enrolled in Medicare?

Yes. Minami Kurose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Minami Kurose accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Minami Kurose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Minami Kurose was last updated on January 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.