| Dulles Eye Associates, P.c. | |
|
19415 Deerfield Ave, Ste 106, Lansdowne, VA 20176-8452 | |
| (703) 723-9633 | |
| (703) 723-9772 |
| Full Name | Dulles Eye Associates, P.c. |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 19415 Deerfield Ave, Lansdowne, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144289661 | NPI | - | NPPES |
| 14619 | Other | VA | ANTHEM |
| 6310532 | Medicaid | VA | |
| P0004567 | Other | VA | RAILROAD MEDICARE |
| 68480001 | Other | DC | CAREFIRST |
| 2112890 | Other | VA | UNITED HEALTH CARE |
| G8480001 | Other | DC | CAREFIRST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | 0101232401 (Virginia) | Primary |
| Provider Name | Christina L Butera |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366523102 PECOS PAC ID: 1052399813 Enrollment ID: I20040709000224 |
| Provider Name | Nicole G Teser |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316029739 PECOS PAC ID: 8729039045 Enrollment ID: I20050203000740 |
| Provider Name | Ayman Boutros |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366530131 PECOS PAC ID: 5092703173 Enrollment ID: I20100113000769 |
| Provider Name | Russell B Pearlman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013098748 PECOS PAC ID: 5597893891 Enrollment ID: I20100506000841 |
| Provider Name | Jay E Katzen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689755357 PECOS PAC ID: 4183752389 Enrollment ID: I20100510000114 |
| Provider Name | Darrell S Reisner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912095019 PECOS PAC ID: 1254310287 Enrollment ID: I20100510000351 |
| Provider Name | Leyla Najafi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811965981 PECOS PAC ID: 5799710851 Enrollment ID: I20110615000459 |
| Provider Name | Ahmed A Nasrullah |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528100211 PECOS PAC ID: 9436047958 Enrollment ID: I20111110000130 |
| Provider Name | Marena Patronas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992928352 PECOS PAC ID: 9537250691 Enrollment ID: I20150604002910 |
| Provider Name | Houriya Mahboobi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013323500 PECOS PAC ID: 2062726557 Enrollment ID: I20150924002217 |
| Provider Name | William R Moughon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790134807 PECOS PAC ID: 0547553471 Enrollment ID: I20160825001212 |
| Provider Name | Mehrine Shaikh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689930984 PECOS PAC ID: 5698089779 Enrollment ID: I20160908002795 |
| Provider Name | Tamer N Mansour |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144397258 PECOS PAC ID: 4880693852 Enrollment ID: I20161115001188 |
| Provider Name | Alessa S Crossan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477848034 PECOS PAC ID: 5799096780 Enrollment ID: I20170724002099 |
| Provider Name | Aryan Mashid |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902274574 PECOS PAC ID: 2163790965 Enrollment ID: I20170829001145 |
| Provider Name | Deena Tailor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104356815 PECOS PAC ID: 1456623743 Enrollment ID: I20170918001718 |
| Provider Name | Randall V Wong |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1851397988 PECOS PAC ID: 2466402334 Enrollment ID: I20180614001263 |
| Provider Name | Obaidullah Faiq |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417441023 PECOS PAC ID: 6507116993 Enrollment ID: I20180905003394 |
| Provider Name | Salman Dar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700272408 PECOS PAC ID: 6608100045 Enrollment ID: I20200723000712 |
| Provider Name | Alvin Siv |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356894869 PECOS PAC ID: 2466730916 Enrollment ID: I20201016000041 |
| Provider Name | Sophia Siyun Wong |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639468960 PECOS PAC ID: 3375856594 Enrollment ID: I20201209001687 |
| Provider Name | Dian Yu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639527682 PECOS PAC ID: 2163848755 Enrollment ID: I20210804004049 |
| Provider Name | Chanpreet Kataria |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922615103 PECOS PAC ID: 3779987896 Enrollment ID: I20210811000602 |
| Provider Name | Monica Dalal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164625562 PECOS PAC ID: 8224272000 Enrollment ID: I20220722001900 |
| Provider Name | Remil Simon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881156149 PECOS PAC ID: 9436573417 Enrollment ID: I20230613003765 |
| Provider Name | Tony Kang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679078877 PECOS PAC ID: 4385026327 Enrollment ID: I20230620000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Dulles Eye Associates, P.c. 19415 Deerfield Ave, Ste 106, Lansdowne, VA 20176-8452 Ph: (703) 723-9633 | Dulles Eye Associates, P.c. 19415 Deerfield Ave, Ste 106, Lansdowne, VA 20176-8452 Ph: (703) 723-9633 |