Doctor profile · Federal record
Dr. Kelly Joedicke, O.D.
Corneal and Contact Management Optometrist · Chantilly, VA
- NPI 1578682977
- 19 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3910 Centreville RD, #100
Chantilly, VA 201513279
(703) 830-6380
fax (703) 263-2441
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 152WC0802X — NUCC code
- State license (1)
- Virginia #0618000697
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1578682977. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$253
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Optos, INC. | 2 | $253.05 |
By nature of payment
Frequently asked questions
What is Dr. Kelly Joedicke's medical specialty?
Dr. Kelly Joedicke practices Corneal and Contact Management Optometrist in Chantilly, VA.
Where does Dr. Kelly Joedicke practice?
Dr. Kelly Joedicke practices at 3910 Centreville RD, Chantilly, VA 201513279. Office phone: 7038306380.
What is Dr. Kelly Joedicke's NPI?
Dr. Kelly Joedicke's National Provider Identifier (NPI) is 1578682977, issued by NPPES.