| Dr Kelly Lynne Hale, OD | |
|
13880 Braddock Rd, Suite 110, Centreville, VA 20121-2459 | |
| (703) 830-2020 | |
| (703) 830-4458 |
| Full Name | Dr Kelly Lynne Hale |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 13880 Braddock Rd, Centreville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336122761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0618000438 (Virginia) | Primary |
| Provider Name | Kathleen B Moore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275521486 PECOS PAC ID: 4688635113 Enrollment ID: I20041019000856 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelly Lynne Hale, OD 13880 Braddock Rd, Suite 110, Centreville, VA 20121-2459 Ph: (703) 830-2020 | Dr Kelly Lynne Hale, OD 13880 Braddock Rd, Suite 110, Centreville, VA 20121-2459 Ph: (703) 830-2020 |
Kathleen B. Moore, Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13880 Braddock Rd Ste 110, Centreville, VA 20121 Phone: 703-830-2020 Fax: 703-830-4458 | |
Jkim Eye Care, O.d., Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5707 Centre Square Dr, Centreville, VA 20120 Phone: 703-815-2500 Fax: 703-815-2501 | |
All Eyes Optometrists, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6343 Multiplex Dr, Centreville, VA 20121 Phone: 703-631-3990 | |
Kim-quyen Thi Bui, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14637 Lee Highway, Suite 104, Centreville, VA 20121 Phone: 703-266-9099 | |
Dr. Kathleen Brady Moore, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13880 Braddock Rd, Suite 110, Centreville, VA 20121 Phone: 703-830-2020 Fax: 703-830-4458 | |
Centreville Optometry, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 14245e Centreville Sq, Centreville, VA 20121 Phone: 703-830-2010 Fax: 703-818-7014 |