| Centreville Optometry, Llc | |
|
14245e Centreville Sq, Centreville, VA 20121-2368 | |
| (703) 830-2010 | |
| (703) 818-7014 |
| Full Name | Centreville Optometry, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 14245e Centreville Sq, Centreville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306037734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0618000041 (Virginia) | Primary |
| Provider Name | Gregory J Katchuk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023190030 PECOS PAC ID: 8325036866 Enrollment ID: I20040510000904 |
| Provider Name | Vincent A Bertomeu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003074139 PECOS PAC ID: 2961436209 Enrollment ID: I20050926000517 |
| Provider Name | Dorothy Brodmann |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922077916 PECOS PAC ID: 4183639495 Enrollment ID: I20060428000400 |
| Provider Name | Jeanne I Ruff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306950027 PECOS PAC ID: 4385664374 Enrollment ID: I20061110000357 |
| Provider Name | Karyn R Seffens |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619087079 PECOS PAC ID: 1254330699 Enrollment ID: I20061212000237 |
| Provider Name | Frank Cassella |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104018746 PECOS PAC ID: 2365527314 Enrollment ID: I20080403000037 |
| Provider Name | Mojgan Haghshenas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386678324 PECOS PAC ID: 0547348856 Enrollment ID: I20081209000552 |
| Provider Name | Jennifer W Sun |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265660575 PECOS PAC ID: 9638365786 Enrollment ID: I20101202000763 |
| Provider Name | Deborah Kim Cho |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114188257 PECOS PAC ID: 0446439442 Enrollment ID: I20110124000291 |
| Provider Name | Amir Abyaneh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699089201 PECOS PAC ID: 4486835378 Enrollment ID: I20110225000108 |
| Provider Name | Alice Tseng |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821050220 PECOS PAC ID: 8729261102 Enrollment ID: I20110322000855 |
| Provider Name | Nazanin Latifi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043508161 PECOS PAC ID: 5799958575 Enrollment ID: I20120118000603 |
| Provider Name | Thomas Finley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396766713 PECOS PAC ID: 4880581016 Enrollment ID: I20120120000350 |
| Provider Name | Rosa Guerreiro |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104859503 PECOS PAC ID: 0547404170 Enrollment ID: I20130920000099 |
| Provider Name | Lisa Abraham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477897346 PECOS PAC ID: 8426283920 Enrollment ID: I20131107001515 |
| Provider Name | Jeff Chuh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851600555 PECOS PAC ID: 6800023698 Enrollment ID: I20131227000809 |
| Provider Name | Danah N. Harbi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972847739 PECOS PAC ID: 1456676253 Enrollment ID: I20150219002414 |
| Provider Name | Allyssa M Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942512579 PECOS PAC ID: 9032394051 Enrollment ID: I20150429000638 |
| Provider Name | Sun Hee Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932516937 PECOS PAC ID: 3072735356 Enrollment ID: I20150709000208 |
| Provider Name | Gurkiran Virdee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942604491 PECOS PAC ID: 1254643505 Enrollment ID: I20150910001870 |
| Provider Name | Chinweuba Obi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548638810 PECOS PAC ID: 2062720543 Enrollment ID: I20160307000131 |
| Provider Name | Ahmed Q. Al-sayyad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841638756 PECOS PAC ID: 7012142441 Enrollment ID: I20170309000089 |
| Provider Name | Columbia T Herzlinger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750810396 PECOS PAC ID: 2264798651 Enrollment ID: I20171120000327 |
| Provider Name | Arezou Azizaldin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225550742 PECOS PAC ID: 9335415132 Enrollment ID: I20171129000897 |
| Provider Name | Annie Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467976910 PECOS PAC ID: 4880951326 Enrollment ID: I20171208000087 |
| Provider Name | Queena Singh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710345368 PECOS PAC ID: 6507165990 Enrollment ID: I20171213000442 |
| Provider Name | Nicole T Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447788054 PECOS PAC ID: 5597023705 Enrollment ID: I20171227002003 |
| Provider Name | Laura Leslie Brykczynski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750452926 PECOS PAC ID: 9931469863 Enrollment ID: I20180214000425 |
| Provider Name | Malalai Yarzada |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245682657 PECOS PAC ID: 3870855026 Enrollment ID: I20180328000147 |
| Provider Name | Heather A. Burton-zalar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235409954 PECOS PAC ID: 3870819907 Enrollment ID: I20180418000669 |
| Provider Name | Monica Lynn Bishop |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679655708 PECOS PAC ID: 2961687983 Enrollment ID: I20180418001623 |
| Provider Name | Salma Chakhachirou |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457723165 PECOS PAC ID: 9931498458 Enrollment ID: I20180419001571 |
| Provider Name | Michael S Krimigis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104960129 PECOS PAC ID: 2163596495 Enrollment ID: I20180430000955 |
| Provider Name | Isha Khosa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740687789 PECOS PAC ID: 5799077624 Enrollment ID: I20180508000233 |
| Provider Name | Neda Farahmand |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629098439 PECOS PAC ID: 8628164365 Enrollment ID: I20180920003462 |
| Provider Name | Areen Amjad Hosein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568948487 PECOS PAC ID: 5395081244 Enrollment ID: I20190114001864 |
| Provider Name | Polin Lay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699334201 PECOS PAC ID: 2163757063 Enrollment ID: I20190715003369 |
| Provider Name | Robin S Choi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881153278 PECOS PAC ID: 7719210988 Enrollment ID: I20200422000021 |
| Provider Name | Michael P Haedt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932180312 PECOS PAC ID: 0446421275 Enrollment ID: I20200514002565 |
| Provider Name | Celina A Hubert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952921785 PECOS PAC ID: 5395166268 Enrollment ID: I20200601002003 |
| Provider Name | Ariel J Taylor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598388001 PECOS PAC ID: 5890117303 Enrollment ID: I20200630001040 |
| Provider Name | Gooya Goudarzi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598222457 PECOS PAC ID: 4789910076 Enrollment ID: I20200916001895 |
| Provider Name | Khushboo Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992325823 PECOS PAC ID: 6507284924 Enrollment ID: I20200917001141 |
| Provider Name | Anupreet Chawla |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902110612 PECOS PAC ID: 1557550522 Enrollment ID: I20201001001950 |
| Provider Name | Jung Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114501657 PECOS PAC ID: 0749681005 Enrollment ID: I20210624002434 |
| Provider Name | Alan Van |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356014773 PECOS PAC ID: 7315343621 Enrollment ID: I20211001000297 |
| Provider Name | Farzana Abdul-ali |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972271708 PECOS PAC ID: 1951790815 Enrollment ID: I20211115001435 |
| Provider Name | Minami Kurose |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134624240 PECOS PAC ID: 7012264658 Enrollment ID: I20211220000828 |
| Provider Name | Sarbjit Mehmi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780250266 PECOS PAC ID: 4284036401 Enrollment ID: I20220321000401 |
| Provider Name | Keith Schmidt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538159355 PECOS PAC ID: 1850524240 Enrollment ID: I20220902000614 |
| Provider Name | Arjun Dalsania |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881360196 PECOS PAC ID: 6507262557 Enrollment ID: I20220920000022 |
| Provider Name | Krista Lynn Greene |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396277885 PECOS PAC ID: 0941674287 Enrollment ID: I20230328001129 |
| Provider Name | Edward Papie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639868706 PECOS PAC ID: 5799141412 Enrollment ID: I20230522002298 |
| Provider Name | Hun Ki Hong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053007344 PECOS PAC ID: 4880055797 Enrollment ID: I20230725001811 |
| Provider Name | Parwana Kabiri |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992585707 PECOS PAC ID: 1759738545 Enrollment ID: I20231120003470 |
| Provider Name | Ali Al-sherifi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528190527 PECOS PAC ID: 1355790973 Enrollment ID: I20231207003848 |
| Provider Name | Michelle Moinifar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023430477 PECOS PAC ID: 4082051305 Enrollment ID: I20240322000898 |
| Provider Name | Marya Siddiq |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750130035 PECOS PAC ID: 8921541590 Enrollment ID: I20240624003924 |
| Provider Name | Harjot Kaur |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578083150 PECOS PAC ID: 7113293325 Enrollment ID: I20240914000017 |
| Provider Name | Tarek Khalil |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457100067 PECOS PAC ID: 1052859543 Enrollment ID: I20241025000261 |
| Provider Name | Diana Mamoud |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811746423 PECOS PAC ID: 7618403395 Enrollment ID: I20241204002837 |
| Mailing Address | Practice Location Address |
|---|---|
| Centreville Optometry, Llc 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Centreville Optometry, Llc 14245e Centreville Sq, Centreville, VA 20121-2368 Ph: (703) 830-2010 |
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 | |
Dr. Kelly Lynne Hale, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 13880 Braddock Rd, Suite 110, Centreville, VA 20121 Phone: 703-830-2020 Fax: 703-830-4458 |