MARY WASHINGTON EYE CARE CENTER, LLC
NPI 1720301625
Ophthalmology in Fredericksburg, VA

Active since March 05, 2010CLIA 49D2117457 · Waiver
4710 SPOTSYLVANIA PKWY STE 104, FREDERICKSBURG, VA 22407(540) 741-2733 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 15, 2026, Mar 4, 2026 (2 updates tracked since 2026).

About Mary Washington Eye Care Center, Llc NPPES

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

MARY WASHINGTON EYE CARE CENTER, LLC (NPI 1720301625) is a healthcare organization registered as an ophthalmology in Fredericksburg, Virginia and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through August 15, 2028 and lists Christopher D Newman, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1720301625
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMARY WASHINGTON EYE CARE CENTER, LLC
Location Address4710 SPOTSYLVANIA PKWY STE 104Fredericksburg, VA 22407-9433
Mailing Address1340 Central Park Blvd Ste 207Fredericksburg, VA 22401-4941 · (540) 741-1821 · Fax (540) 741-1097
Organization SubpartNo
Authorized OfficialChristopher D NewmanChief Executive Officer · (540) 741-3248
Enumeration DateMarch 5, 2010
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1720301625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X
4710 SPOTSYLVANIA PKWY STE 104, Fredericksburg, VA 22407

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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)

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

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Mary Washington Eye Care Center, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Ophthalmology8
Optometry4

Clinicians, nearest first (12)

Ophthalmology
NPI 1750820320
4710 SPOTSYLVANIA PKWY STE 104
Fredericksburg, VA 22407
(540) 741-2733
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1215927629
4710 SPOTSYLVANIA PKWY SUITE 104
Fredericksburg, VA 22407
(540) 741-2733
✔ PECOSSame address
Optometry
NPI 1417251331
4710 SPOTSYLVANIA PKWY SUITE 104
Fredericksburg, VA 22407
(540) 741-2733
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1144894452
4710 SPOTSYLVANIA PKWY
Fredericksburg, VA 22407
(540) 741-2733
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1851395446
4710 SPOTSYLVANIA PKWY STE 104
Fredericksburg, VA 22407
(540) 741-2733
✔ PECOSSame address
Optometry
NPI 1548638810
9675 LIBERIA AVE STE 108
Manassas, VA 20110
(703) 331-2122
✔ PECOS✔ Accepts Medicare37 mi
Ophthalmology
NPI 1003923665
P.O. BOX 3009
Virginia Beach, VA 23454
(757) 497-1987
✔ PECOS✔ Accepts Medicare121 mi
Optometry
NPI 1386925279
485 US HIGHWAY 1 S BLDG A
Iselin, NJ 08830
(706) 442-9412
✔ PECOS✔ Accepts Medicare235 mi
Ophthalmology
NPI 1083027346
5655 MONCLOVA RD
Maumee, OH 43537
(419) 357-3359
✔ PECOS✔ Accepts Medicare401 mi
Ophthalmology
NPI 1750944559
1160 W MICHIGAN ST
Indianapolis, IN 46202
(317) 944-2020
✔ PECOS✔ Accepts Medicare477 mi
Ophthalmology
NPI 1528293594
3500 E FLETCHER AVE STE 105
Tampa, FL 33613
(813) 995-7750
✔ PECOS755 mi
Ophthalmology
NPI 1053611400
475 BRADLEY BLVD
Richland, WA 99352
(509) 943-2240
✔ PECOS✔ Accepts Medicare2,186 mi

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 49D2117457

Mary Washington Eye Care Center, LLC · Fredericksburg, VA
Active · expires Aug 15, 2028
CLIA Number49D2117457
Laboratory TypeEye Center
Certificate Effective DateAugust 16, 2026
Certificate Expiration DateAugust 15, 2028
Laboratory DirectorPaquita S. Gillard
Laboratory Phone(540) 741-2733
Laboratory LocationMary Washington Eye Care Center, LLC4710 Spotsylvania Parkway - Suite 104, Fredericksburg, VA 22407
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 Mary Washington Eye Care Center, LLC's NPI number?

The NPI number for Mary Washington Eye Care Center, LLC is 1720301625. It was assigned to this organization in the NPPES registry on March 5, 2010.

Where is Mary Washington Eye Care Center, LLC located?

Mary Washington Eye Care Center, LLC is located at 4710 Spotsylvania Pkwy Ste 104, Fredericksburg, VA 22407. The listed phone number is (540) 741-2733.

What is Mary Washington Eye Care Center, LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Mary Washington Eye Care Center, LLC enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Mary Washington 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. The largest specialties are Ophthalmology (8) and Optometry (4). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate of Waiver (number 49D2117457) is associated with this NPI, valid through August 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mary Washington 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 list Mary Washington 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 Mary Washington Eye Care Center, LLC was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.