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DR. KELLY L JOEDICKE O.D.
NPI 1578682977
Optometrist - Corneal and Contact Management in Chantilly, VA

Active since March 28, 2007PECOS Enrolled
3910 CENTREVILLE RD, #100, CHANTILLY, VA 20151(703) 830-6380(703) 263-2441 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kelly L Joedicke O.d. NPPES

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

DR. KELLY L JOEDICKE O.D. (NPI 1578682977) is an individual corneal and contact management provider in Chantilly, Virginia, licensed in Virginia (0618000697) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578682977
Entity TypeIndividualFemale
Primary Taxonomy152WC0802X
Provider Legal NameDR. KELLY L JOEDICKECredential: O.D.
Location Address3910 CENTREVILLE RD, #100Chantilly, VA 20151-3279
Mailing Address3910 Centreville Rd, #100Chantilly, VA 20151-3279 · (703) 830-6380 · Fax (703) 263-2441
Phone(703) 830-6380
Fax(703) 263-2441
Sole ProprietorNo
Enumeration DateMarch 28, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1578682977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in VA · 0618000697
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
3910 CENTREVILLE RD, Chantilly, VA 20151
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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. Kelly L Joedicke O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20151 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 8

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

DR. GREGORY ALDEN PAGE B.S., D.C
Chiropractor
3910 CENTREVILLE RD, SUITE 202
CHANTILLY, VA 20151
Fairfax County (703) 378-2698
DR. JAMES A MUNSE D.C.
Chiropractor
3910 CENTREVILLE RD, SUITE 202
CHANTILLY, VA 20151
Fairfax County (703) 378-2698
CHANTILLY DENTIST PC
Dentist (General Practice)
3910 CENTREVILLE RD, SUITE 200
CHANTILLY, VA 20151
Fairfax County (703) 378-5600
ROBERT M. ALLEN, OD, PC
Optometrist (Corneal and Contact Management)
3910 CENTREVILLE RD, #100
CHANTILLY, VA 20151
Fairfax County (703) 830-6380
DR. WILLIAM W. BABINGTON DDS
Dentist (General Practice)
3910 CENTREVILLE RD, SUITE 200
CHANTILLY, VA 20151
Fairfax County (703) 378-5600
PAGE CHIROPRACTIC REHABILITATION & WELLNESS PC
Chiropractor
3910 CENTREVILLE RD, SUITE 202
CHANTILLY, VA 20151
Fairfax County (703) 378-2698
WILLIAM TODD FISHER BS DC
Chiropractor
3910 CENTREVILLE RD, SUITE 202
CHANTILLY, VA 20151
Fairfax County (703) 378-2698
EYE STREET OPTICAL INC
Technician/Technologist (Optician)
3910 CENTREVILLE RD, SUITE 100
CHANTILLY, VA 20151
Fairfax County (703) 830-6377

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 Kelly Joedicke's NPI number?

The NPI number for Kelly Joedicke is 1578682977. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Kelly Joedicke located?

Kelly Joedicke practices at 3910 Centreville Rd #100, Chantilly, VA 20151. The listed phone number is (703) 830-6380.

What is Kelly Joedicke's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Kelly Joedicke enrolled in Medicare?

Yes. Kelly Joedicke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Joedicke was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.