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DR. TINA DOUROUDIAN O.D.
NPI 1154762144
Optometrist in Leesburg, VA

Active since July 08, 2013PECOS Enrolled
1047 EDWARDS FERRY RD NE, LEESBURG, VA 20176(703) 737-7798(703) 737-7889 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 10, 2021, Mar 22, 2016 (2 updates tracked since 2016).

About Dr. Tina Douroudian O.d. NPPES

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

DR. TINA DOUROUDIAN O.D. (NPI 1154762144) is an individual optometrist in Leesburg, Virginia, licensed in Virginia (618002797) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2013).

NPPES Registry Identity

NPI1154762144
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. TINA DOUROUDIANCredential: O.D.
Location Address1047 EDWARDS FERRY RD NELeesburg, VA 20176-3347
Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970
Phone(703) 737-7798
Fax(703) 737-7889
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2013
Enumeration DateJuly 8, 2013
Last NPPES UpdateNovember 10, 20212 updates tracked since enumeration
NPPES CertifiedNovember 10, 2021
✔ NPI 1154762144 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 · 618002797✔ Licensed in NY · TUV007989
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.
1047 EDWARDS FERRY RD NE, Leesburg, VA 20176
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tina Douroudian O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941432306
PECOS Enrollment IDI20190730001543, I20190813002525
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 20176 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 4

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

MYEYEDR OPTOMETRY OF VIRGINIA, PLLC
Optometrist
1047 EDWARDS FERRY RD NE
LEESBURG, VA 20176
Loudoun County (703) 737-7798
DR. PATRICK FLEMING PLLC ALLEGANY OPTOMETRY
Optometrist
1047 EDWARDS FERRY RD NE
LEESBURG, VA 20176
Loudoun County (703) 737-7798
DR. NINA DALSANIA MAKADIA O.D
Optometrist
1047 EDWARDS FERRY RD NE
LEESBURG, VA 20176
Loudoun County (703) 737-7798
GOOYA GOUDARZI OD
Optometrist
1047 EDWARDS FERRY RD NE
LEESBURG, VA 20176
Loudoun County (703) 737-7798

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 Tina Douroudian's NPI number?

The NPI number for Tina Douroudian is 1154762144. It was assigned to this individual provider in the NPPES registry on July 8, 2013.

Where is Tina Douroudian located?

Tina Douroudian practices at 1047 Edwards Ferry Rd NE, Leesburg, VA 20176. The listed phone number is (703) 737-7798.

What is Tina Douroudian's specialty?

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

Is Tina Douroudian enrolled in Medicare?

Yes. Tina Douroudian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tina Douroudian was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.