| Optometric Consultants Of Virginia, Inc | |
| 4221 Walney Rd, Suite 100, Chantilly, VA 20151-2987 | |
| (703) 961-9119 | |
| (703) 961-9230 | 
| Full Name | Optometric Consultants Of Virginia, Inc | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 4221 Walney Rd, Chantilly, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619285673 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | 0618001301 (Virginia) | Primary | 
| Provider Name | Dimple K Kapoor | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1902831134 PECOS PAC ID: 9537064597 Enrollment ID: I20140108001429 | 
| Provider Name | Sylvia Briceno | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1285736454 PECOS PAC ID: 7517984297 Enrollment ID: I20170818001108 | 
| Provider Name | Roman Golas | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1336661446 PECOS PAC ID: 6103199724 Enrollment ID: I20170901002451 | 
| Provider Name | Randa Edelbi | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1710546452 PECOS PAC ID: 0648502724 Enrollment ID: I20200123002018 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Optometric Consultants Of Virginia, Inc 4221 Walney Rd, Suite 100, Chantilly, VA 20151-2987 Ph: (703) 961-9119 | Optometric Consultants Of Virginia, Inc 4221 Walney Rd, Suite 100, Chantilly, VA 20151-2987 Ph: (703) 961-9119 | 
| Dr. Hun Ki Hong,  Optometrist Medicare: Medicare Enrolled Practice Location: 14337 Newbrook Dr Ste 400, Chantilly, VA 20151 Phone: 571-512-5990 | |
| Moa Mid-atlantic Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3910 Centreville Rd Ste 102, Chantilly, VA 20151 Phone: 703-719-8811 Fax: 703-263-2441 | |
| Negin Azhandeh, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 25055 Riding Plz Ste 100, Chantilly, VA 20152 Phone: 703-957-3384 Fax: 703-957-3387 | |
| Eye And Vision Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4221 Walney Rd, Suite 100, Chantilly, VA 20151 Phone: 703-961-9119 | |
| Dr. Neha Kapoor, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 25055 Riding Plz, Suite 100, Chantilly, VA 20152 Phone: 703-957-3384 | |
| Dr. Deborah Kim Cho, OD Optometrist Medicare: Medicare Enrolled Practice Location: 14337 Newbrook Dr Ste 400, Chantilly, VA 20151 Phone: 571-512-5990 Fax: 571-512-5989 | |
| Susan Ly, DR. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 14391 Chantilly Crossing Ln, Chantilly, VA 20151 Phone: 703-817-0748 Fax: 703-817-0748 |