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

Dr. Chantal H Jacques, OD

Individual provider Optometrist · NPI 1801025960

Dr. Chantal H Jacques, OD is an Optometry in Chantilly, Virginia. Qualified in 2009, 17 years ago. Licensed in Illinois, Missouri and Virginia.

Years since qualifying
17
Licensed in
IL, MO, VA
In the registry since
2009
Specialties on file
3
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

14337 Newbrook Dr Ste 400
Chantilly, VA 20151-4259
Phone: (571) 512-5990
Fax: (571) 512-5989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0618002953 (VA)
Optometrist Taxonomy 152W00000X · Licence 2009016926 (MO)
Optometrist Taxonomy 152W00000X · Licence 046.010234 (IL)

Record details

NPI number1801025960
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 10, 2009
Last updated in NPPESApril 6, 2022
Certification dateApril 6, 2022

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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