| Monica Park, | |
|
11656 Plaza America Dr, Reston, VA 20190-4700 | |
| (703) 467-9080 | |
| Not Available |
| Full Name | Monica Park |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 11656 Plaza America Dr, Reston, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043067572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0618003425 (Virginia) | Primary |
| Provider Name | Northern Virginia Doctors Of Optometry |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801976055 PECOS PAC ID: 1759301765 Enrollment ID: O20051205000693 |
| Mailing Address | Practice Location Address |
|---|---|
| Monica Park, 11656 Plaza America Dr, Reston, VA 20190-4700 Ph: (703) 467-9080 | Monica Park, 11656 Plaza America Dr, Reston, VA 20190-4700 Ph: (703) 467-9080 |
Dr. Vincent A Bertomeu, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1841 Fountain Dr, Reston, VA 20190 Phone: 703-264-2020 Fax: 703-481-9474 | |
Rayanne Elise Passarelli, OD Optometrist Medicare: Medicare Enrolled Practice Location: 11656 Plaza America Dr, Reston, VA 20190 Phone: 703-467-9080 | |
Dr. Preyaben Patel, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1841 Fountain Dr, Reston, VA 20190 Phone: 703-264-2020 | |
Keith Smithson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11656 Plaza America Dr, Reston, VA 20190 Phone: 703-467-9080 Fax: 703-467-9082 | |
Julie Park Kao, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1890 Metro Center Dr, Reston, VA 20190 Phone: 703-359-7878 | |
Dr. Helene D Clayton-jeter, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11445 Sunset Hills Road, Reston, VA 20190 Phone: 703-709-1748 Fax: 703-709-1711 |