NOVA EYE CARE CENTER, LLC
NPI 1568612190
Optometrist in Alexandria, VA

Q: What is Nova Eye Care Center, LLC's NPI number?

The NPI number for Nova Eye Care Center, LLC is 1568612190. It was assigned to this organization in the NPPES registry on September 18, 2008.

Q: What is Nova Eye Care Center, LLC's specialty?

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

Active since September 18, 2008CLIA 49D2057501 · Waiver

3223 DUKE ST, SUITE B3, ALEXANDRIA, VA 22314(703) 813-8997(703) 662-5408 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Nova Eye Care Center, Llc NPPES

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

NOVA EYE CARE CENTER, LLC (NPI 1568612190) is a healthcare organization registered as an optometrist in Alexandria, Virginia and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through April 16, 2027 and lists Tina Vu Kelly, Optometrist/ Member, as its authorized official.

NPPES Registry Identity

NPI1568612190

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameNOVA EYE CARE CENTER, LLC

Location Address3223 DUKE ST, SUITE B3Alexandria, VA 22314-4586

Mailing Address3223 Duke St Ste B3Alexandria, VA 22314-4555 · (703) 813-8997 · Fax (703) 662-5408

Phone(703) 813-8997

Fax(703) 662-5408

Organization SubpartNo

Authorized OfficialTina Vu KellyOptometrist/ Member · (703) 813-8997

Enumeration DateSeptember 18, 2008

Last NPPES UpdateJanuary 8, 2020

✔ NPI 1568612190 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 · 1104014455

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.

3223 DUKE ST, Alexandria, VA 22314

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nova Eye Care Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Nova Eye Care Center, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Tina Kelly, OD

Optometry

NPI 1104014455

3223 DUKE ST SUITE B3
Alexandria, VA 22314

(703) 813-8997

✔ PECOS✔ Accepts MedicareSame address

Jacqueline Shannon, OD

Optometry

NPI 1215862255

3223 DUKE ST STE B3
Alexandria, VA 22314

(703) 813-8997

✔ PECOSSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2057501

Nova Eye Care Center, LLC · Alexandria, VA

Active · expires Apr 16, 2027

CLIA Number49D2057501

Laboratory TypePhysician Office

Certificate Effective DateApril 17, 2025

Certificate Expiration DateApril 16, 2027

Laboratory DirectorTina Kelly Od

Laboratory Phone(703) 813-8997

Laboratory LocationNova Eye Care Center, LLC3223 Duke Street - Suite B3, Alexandria, VA 22314

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Nova Eye Care Center, LLC's NPI number?

The NPI number for Nova Eye Care Center, LLC is 1568612190. It was assigned to this organization in the NPPES registry on September 18, 2008.

Where is Nova Eye Care Center, LLC located?

Nova Eye Care Center, LLC is located at 3223 Duke St Suite B3, Alexandria, VA 22314. The listed phone number is (703) 813-8997.

What is Nova Eye Care Center, LLC's specialty?

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

Is Nova Eye Care Center, LLC enrolled in Medicare?

Yes. Nova Eye Care Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nova Eye Care Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Nova Eye Care Center, 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Nova Eye Care Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2057501) is associated with this NPI, valid through April 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nova Eye Care Center, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list Nova Eye Care Center, LLC 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 Nova Eye Care Center, LLC was last updated on January 8, 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.