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

Dr. Jeetandra M. Athelli, OD

Individual provider Optometrist · NPI 1902808181

Dr. Jeetandra M. Athelli, OD is an Optometry in Chantilly, Virginia. Graduated from State University of New York - State College Optometry in 1993, 33 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
33
Trained at
State University of New York - State College Optometry
Licensed in
VA
In the registry since
2005
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

14161A Robert Paris Ct
Chantilly, VA 20151-4204
Phone: (703) 631-0014
Fax: (703) 449-8770
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0618000308 (VA)

Record details

NPI number1902808181
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 1, 2005
Last updated in NPPESJuly 8, 2015
Mailing address400 Holiday Ct 207, Warrenton, VA 20186-4349

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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