LUMEN EYE CENTER
NPI 1760060743
Optometrist in Gainesville, VA

Active since March 31, 2021
13934 ESTATE MANOR DR UNIT J, GAINESVILLE, VA 20155(804) 605-9821 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 1, 2021, May 25, 2021, Mar 31, 2021 (3 updates tracked since 2021).

About Lumen Eye Center NPPES

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

LUMEN EYE CENTER (NPI 1760060743) is a healthcare organization registered as an optometrist in Gainesville, Virginia and active in the NPI registry since March 2021. The organization lists Tina Ansari, Owner, as its authorized official.

NPPES Registry Identity

NPI1760060743
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameTINA ANSARI OD & ASSOCIATES, LLC
Location Address13934 ESTATE MANOR DR UNIT JGainesville, VA 20155-5951
Mailing Address13934 Estate Manor Dr Unit JGainesville, VA 20155-5951 · (703) 594-9099
Organization SubpartNo
Authorized OfficialTina AnsariOwner · (703) 594-9099
Enumeration DateMarch 31, 2021
Last NPPES UpdateJune 1, 20213 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
✔ NPI 1760060743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
13934 ESTATE MANOR DR UNIT J, Gainesville, VA 20155

Other Names 1

Doing Business AsLumen Eye Center

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateVirginiaEnrollment IDO20211124002205Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lumen Eye Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1487062519
13934 ESTATE MANOR DR UNIT J
Gainesville, VA 20155
(703) 594-9099
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1942826565
900 SYCOLIN RD SE STE 160
Leesburg, VA 20175
(703) 777-1299
✔ PECOS✔ Accepts Medicare22 mi

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

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 Ansari Od & Associates, LLC's NPI number?

The NPI number for Tina Ansari Od & Associates, LLC is 1760060743. It was assigned to this organization in the NPPES registry on March 31, 2021. The provider is doing business as Lumen Eye Center.

Where is Tina Ansari Od & Associates, LLC located?

Tina Ansari Od & Associates, LLC is located at 13934 Estate Manor Dr Unit J, Gainesville, VA 20155. The listed phone number is (804) 605-9821.

What is Tina Ansari Od & Associates, LLC's specialty?

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

Is Tina Ansari Od & Associates, LLC enrolled in Medicare?

Yes. Tina Ansari Od & Associates, LLC is registered in the Medicare PECOS enrollment system.

When is Tina Ansari Od & Associates, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Virginia, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Tina Ansari Od & Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Tina Ansari Od & Associates, 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tina Ansari Od & Associates, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Tina Ansari Od & Associates, 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 Tina Ansari Od & Associates, LLC was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.