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

Dr. Kelly Lynne Hale, OD

Individual provider Optometrist · NPI 1336122761

Dr. Kelly Lynne Hale, OD is an Optometry in Centreville, Virginia. Qualified in 1994, 32 years ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
32
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

13880 Braddock Rd Ste 110
Centreville, VA 20121-2459
Phone: (703) 830-2020
Fax: (703) 830-4458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0618000438 (VA)

Record details

NPI number1336122761
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedNovember 21, 2005
Last updated in NPPESJune 28, 2010

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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