DR. AUTUMN M MANTEL O.D.
NPI 1740297829
Optometrist in Woodbridge, VA

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
14465 POTOMAC MILLS RD, WOODBRIDGE, VA 22192(703) 494-6184(703) 499-9744 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 18, 2024, Aug 20, 2021, Aug 23, 2016 (3 updates tracked since 2016).

About Dr. Autumn M Mantel O.d. NPPES

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

DR. AUTUMN M MANTEL O.D. (NPI 1740297829) is an individual optometrist in Woodbridge, Virginia, licensed in Virginia (0618003387) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1740297829
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. AUTUMN M MANTELCredential: O.D.
Location Address14465 POTOMAC MILLS RDWoodbridge, VA 22192-6807
Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899 · Fax (571) 223-6780
Fax(703) 499-9744
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 2, 2006
Last NPPES UpdateApril 18, 20243 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
✔ NPI 1740297829 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 · 0618003387✔ Licensed in WA · OD00003988
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.
14465 POTOMAC MILLS RD, Woodbridge, VA 22192

Other Identifiers 2

Medicaid1048492WA
Other368024WA · Wa Labor & Industries

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Autumn M Mantel O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224058870
PECOS Enrollment IDI20250324000248, I20250810000024
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

9

Medicare enrollment records show Autumn Mantel reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
14465 POTOMAC MILLS RD
Woodbridge, VA 22192
  • Reassigned Medicare billing, Virginia and District of Columbia enrollments
  • Also billed through NPI 1710874516 (District of Columbia)
  • 337 clinicians in this Medicare group
Optometrist
30 SHINING WILLOW WAY # 30-B
La Plata, MD 20646
  • Reassigned Medicare billing, Maryland and District of Columbia enrollments
  • Also billed through NPI 1760370522 (District of Columbia)
  • 253 clinicians in this Medicare group
Optometrist
1800 E MAIN ST
Waynesboro, PA 17268
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 262 clinicians in this Medicare group
Optometrist
326 7TH AVE
Brooklyn, NY 11215
  • Reassigned Medicare billing, New York enrollment
  • 95 clinicians in this Medicare group
Optometrist
1449 BOARDMAN CANFIELD RD STE 230
Boardman, OH 44512
  • Reassigned Medicare billing, Ohio enrollment
  • 134 clinicians in this Medicare group
Optometrist
3101 BIDDLE AVE
Wyandotte, MI 48192
  • Reassigned Medicare billing, Michigan enrollment
  • 144 clinicians in this Medicare group
Optometrist
3401 LAKE AVE
Fort Wayne, IN 46805
  • Reassigned Medicare billing, Indiana enrollment
  • 162 clinicians in this Medicare group
Optometrist
2305 30TH AVE
Kenosha, WI 53144
  • Reassigned Medicare billing, Wisconsin enrollment
  • 102 clinicians in this Medicare group
Otolaryngology
7105 W HOOD PL STE A103
Kennewick, WA 99336
  • Reassigned Medicare billing, Washington enrollment
  • 589 clinicians in this Medicare group

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 22192 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 9

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

Optometrist
14465 POTOMAC MILLS RD
WOODBRIDGE, VA 22192
Optometrist
14465 POTOMAC MILLS RD
WOODBRIDGE, VA 22192
Optometrist
14465 POTOMAC MILLS RD
WOODBRIDGE, VA 22192
Optometrist
14465 POTOMAC MILLS RD
WOODBRIDGE, VA 22192
Optometrist
14465 POTOMAC MILLS RD
WOODBRIDGE, VA 22192
Optometrist
14465 POTOMAC MILLS RD
WOODBRIDGE, VA 22192
Optometrist
14465 POTOMAC MILLS RD
WOODBRIDGE, VA 22192
Optometrist
14465 POTOMAC MILLS RD
WOODBRIDGE, VA 22192

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 Autumn Mantel's NPI number?

The NPI number for Autumn Mantel is 1740297829. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Autumn Mantel located?

Autumn Mantel practices at 14465 Potomac Mills Rd, Woodbridge, VA 22192. The listed phone number is (703) 494-6184.

What is Autumn Mantel's specialty?

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

Is Autumn Mantel enrolled in Medicare?

Yes. Autumn Mantel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Autumn Mantel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Mantel reassigns Medicare benefits to 9 organizations: Myeyedr Optometry Of Virginia, PLLC (Woodbridge, VA), Myeyedr Optometry Of Maryland, LLC (La Plata, MD), Myeyedr Optometry Of Pennsylvania, LLC (Waynesboro, PA), 200 West Optics, LLC (Brooklyn, NY), Myeyedr Optometry Of Ohio, LLC (Boardman, OH) and 4 more organizations, listed in the Medicare section above. 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 Autumn Mantel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Autumn Mantel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Aspirus Health Plan and 17 other insurers list Autumn Mantel 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 Autumn Mantel was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.