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

Dr. Jacquelyn Tyra, OD

Individual provider Optometrist · NPI 1154896363

Dr. Jacquelyn Tyra, OD is an Optometry in Ashburn, Virginia. Graduated from University of Missouri St Louis - School of Optometry in 2019, 7 years ago. Practices with Loudoun Eye Associates, PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
7
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
VA
In the registry since
2018
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

43490 Yukon Dr Ste 200
Ashburn, VA 20147-7315
Phone: (703) 724-0330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0618002779 (VA)

Record details

NPI number1154896363
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedOctober 4, 2018
Last updated in NPPESMay 23, 2023
Certification dateMay 23, 2023
Mailing address21735 Pinewood Ct, Sterling, VA 20164-2300

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2019 (7 years in practice)
Group practice Loudoun Eye Associates, Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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