| Dr Sop Song, OD | |
|
7700 Little River Tpke Ste 101, Annandale, VA 22003-2406 | |
| (703) 658-7070 | |
| (703) 658-7071 |
| Full Name | Dr Sop Song |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 7700 Little River Tpke Ste 101, Annandale, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801931381 | NPI | - | NPPES |
| 92-3335-1 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0618000574 (Virginia) | Primary |
| 152W00000X | Optometrist | TA1227 (Maryland) | Secondary |
| Provider Name | Sop Song, Od Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164676490 PECOS PAC ID: 8123185923 Enrollment ID: O20090323000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sop Song, OD 7700 Little River Tpke Ste 101, Annandale, VA 22003-2406 Ph: (703) 658-7070 | Dr Sop Song, OD 7700 Little River Tpke Ste 101, Annandale, VA 22003-2406 Ph: (703) 658-7070 |
James H. Walthall, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7002b Little River Tpk, Annandale, VA 22003 Phone: 703-256-2626 Fax: 703-354-3226 | |
J Jennifer Kwon, Od, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7031 Little River Tpke, 12b, Annandale, VA 22003 Phone: 703-354-1212 | |
Christina H Chon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7700 Little River Tpke Ste 101, Annandale, VA 22003 Phone: 703-658-7070 Fax: 703-658-7071 | |
Dr. Dennis Robert Cantwell, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7006 Little River Tpke Ste A, Annandale, VA 22003 Phone: 703-941-3937 Fax: 703-941-4003 | |
Sop Song, Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 7700 Little River Tpke, Suite 101, Annandale, VA 22003 Phone: 703-658-7070 Fax: 703-658-7071 | |
Dr. Michelle Elizabeth Thelen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7630 Little River Tpke Ste 100, Annandale, VA 22003 Phone: 703-941-4111 Fax: 703-941-3929 | |
Dr. Julie Thy Nguyen, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7630 Little River Tpke Ste 100, Annandale, VA 22003 Phone: 703-941-4111 Fax: 703-941-3929 |