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

Payal Kothari

Individual provider Optometrist · NPI 1922514314

Payal Kothari is an Optometry in Fredericksburg, Virginia. Graduated from Illinois College of Optometry at Chicago in 2017, 9 years ago. Practices with Peninsula Eye Center PA, a 5-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maryland, New York and Virginia.

Years since qualifying
9
Trained at
Illinois College of Optometry at Chicago
Licensed in
MD, NY, VA
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

927 Maple Grove Dr Ste 209
Fredericksburg, VA 22407-6936
Phone: (540) 208-5827
Fax: (540) 318-7844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 101 Milford St, Salisbury, MD 21804-6952 — (410) 749-9290
  • 18460 Crossroad Pkwy, Culpeper, VA 22701-4112 — (540) 208-5827

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0618003607 (VA)
Optometrist Taxonomy 152W00000X · Licence 008715 (NY)
Optometrist Taxonomy 152W00000X · Licence TA2979 (MD)

Record details

NPI number1922514314
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 20, 2017
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing addressPo Box 45923, Baltimore, MD 21297-5923

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2017 (9 years in practice)
Group practice Peninsula Eye Center Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fredericksburg