Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ansu Mariam Nathan, OD

Individual provider Optometrist · NPI 1831504976

Ansu Mariam Nathan, OD is an Optometry in Vienna, Virginia. Qualified in 2015, 11 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in Florida, Illinois, Maryland and Virginia.

Years since qualifying
11
Licensed in
FL, IL, MD, VA
In the registry since
2014
Specialties on file
4
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

8369 Leesburg Pike Ste A
Vienna, VA 22182-2421
Phone: (703) 506-0000
Fax: (703) 506-0705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0618002626 (VA)
Optometrist Taxonomy 152W00000X · Licence OPC5321 (FL)
Optometrist Taxonomy 152W00000X · Licence 046.010812 (IL)
Optometrist Taxonomy 152W00000X · Licence TA2621 (MD)

Record details

NPI number1831504976
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 27, 2014
Last updated in NPPESJune 2, 2021
Certification dateJune 2, 2021
Mailing address1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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