Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124004338 Individual Practitioner Male Practitioner

Dr. Charles Henry Kinney , OD

Optometrist • Vienna, VA

Professional Overview & Biography Verified Profile Summary

Dr. Charles Kinney, OD is a registered healthcare professional specializing in Optometrist in Vienna, VA. Practice services are available at 1950 OLD GALLOWS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1950 Old Gallows Rd
Suite 520

Vienna, VA 221823990

Telephone 7038478899
Fax 7039914051
Associated Practice Facility / Clinic
🏢 Columbia Optometry, Llc Facility NPI 1124305388

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Vienna, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.1 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
33 Specialists

Practicing in Vienna, VA (1522 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License UT 110978-9934

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License NC 1074

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7909490 (NC)
Commercial Insurance / Payer ID Bcbs Provider #
09490 (NC)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
NPI 1013957745

Doctor of Optometry

NPI 1053908244

Doctor of Optometry

NPI 1104038025

Doctor of Optometry

NPI 1184667834

Doctor of Optometry

NPI 1184938672

Doctor of Optometry

NPI 1205899036

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 31, 2018

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address January 31, 2018

Registered at 14806 S ROSESCAPE CIR, HERRIMAN, UT 840966978 (Tel: 3366138079)

📍
Updated Practice Location January 31, 2018

Registered at 1950 OLD GALLOWS RD, SUITE 520, VIENNA, VA 221823990 (Tel: 7038478899)

👤
Provider Name / Credentials Updated January 31, 2018

Recorded as CHARLES KINNEY, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2018

Optometrist (License #110978-9934 in UT)

NPI Profile Active November 05, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2014

Registered at 1950 OLD GALLOWS RD, SUITE 520, VIENNA, VA 221823990 (Tel: 7038478899)

📍
Updated Business Mailing Address November 05, 2014

Registered at 1950 OLD GALLOWS RD, SUITE 520, VIENNA, VA 221823990 (Tel: 7038478899)

👤
Provider Name / Credentials Updated November 05, 2014

Recorded as CHARLES KINNEY, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2014

Optometrist (License #1074 in NC)

🟢
Initial NPI Registration & Enumeration December 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124004338
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2005
Last Update: January 31, 2018
Sole Proprietor: No

Mailing Address

14806 S Rosescape Cir

Herriman, UT 840966978

Phone: 3366138079

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.