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

Q: 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.

Q: What is Tina Douroudian's specialty?

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

Q: 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.

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: October 18, 2026.

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Tina Douroudian reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Myeyedr Optometry Of Virginia, PLLC

Same address

Optometrist

1047 EDWARDS FERRY RD NE
Leesburg, VA 20176

Reassigned Medicare billing, Virginia enrollment
337 clinicians in this Medicare group

NPI 1144678988 (703) 737-7798

Arlington Loudoun Pediatric Ophthalmology PLLC

8.8 mi

Ophthalmology

46161 WESTLAKE DR STE 300
Sterling, VA 20165

Reassigned Medicare billing, District of Columbia and Virginia enrollments
2 clinicians in this Medicare group

NPI 1366688160 (571) 434-2927

Dulles Optometry, LLC

9.0 mi

Optometrist

22000 DULLES RETAIL PLZ, STE. 168
Sterling, VA 20166

Reassigned Medicare billing, Virginia enrollment
37 clinicians in this Medicare group

NPI 1699956136 (703) 421-3322

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

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.

Which organizations bill Medicare for Tina Douroudian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Douroudian reassigns Medicare benefits to 3 organizations: Myeyedr Optometry Of Virginia, PLLC (Leesburg, VA), Arlington Loudoun Pediatric Ophthalmology PLLC (Sterling, VA) and Dulles Optometry, LLC (Sterling, VA). Each 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 Tina Douroudian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.