| Manassas Optometry, Llc | |
|
9675 Liberia Ave, # 108, Manassas, VA 20110-1741 | |
| (703) 331-2122 | |
| (703) 331-0534 |
| Full Name | Manassas Optometry, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 9675 Liberia Ave, Manassas, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245560655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Virginia) | Primary |
| Provider Name | Gregory J Katchuk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023190030 PECOS PAC ID: 8325036866 Enrollment ID: I20040504000722 |
| Provider Name | Neda Farahmand |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629098439 PECOS PAC ID: 8628164365 Enrollment ID: I20071011000229 |
| Provider Name | Frank Cassella |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104018746 PECOS PAC ID: 2365527314 Enrollment ID: I20080314000281 |
| Provider Name | Vincent A Bertomeu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003074139 PECOS PAC ID: 2961436209 Enrollment ID: I20100813000736 |
| Provider Name | Monica Lynn Bishop |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679655708 PECOS PAC ID: 2961687983 Enrollment ID: I20110505000855 |
| Provider Name | Jeffrey C Shelton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912937855 PECOS PAC ID: 6204072440 Enrollment ID: I20130415000106 |
| Provider Name | Sun Hee Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932516937 PECOS PAC ID: 3072735356 Enrollment ID: I20141121001077 |
| Provider Name | Oanh K Bui-platten |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639292261 PECOS PAC ID: 9032217419 Enrollment ID: I20141125000641 |
| Provider Name | Constance B Campbell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306250923 PECOS PAC ID: 4082937529 Enrollment ID: I20150108000794 |
| Provider Name | Danah N. Harbi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972847739 PECOS PAC ID: 1456676253 Enrollment ID: I20150918001052 |
| Provider Name | Susan R. Wiley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477725950 PECOS PAC ID: 4183878242 Enrollment ID: I20160205001453 |
| Provider Name | Salma Chakhachirou |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457723165 PECOS PAC ID: 9931498458 Enrollment ID: I20160523000851 |
| Provider Name | Columbia T Herzlinger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750810396 PECOS PAC ID: 2264798651 Enrollment ID: I20171130000130 |
| Provider Name | Rosa Guerreiro |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104859503 PECOS PAC ID: 0547404170 Enrollment ID: I20171211002415 |
| Provider Name | Jennifer Candelaria Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255715082 PECOS PAC ID: 0042526055 Enrollment ID: I20180214002059 |
| Provider Name | Laura Leslie Brykczynski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750452926 PECOS PAC ID: 9931469863 Enrollment ID: I20180305000069 |
| Provider Name | Kwon Jung Choe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548344914 PECOS PAC ID: 7810170297 Enrollment ID: I20180305000141 |
| Provider Name | Demet Denise Tunc |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356552681 PECOS PAC ID: 4688917099 Enrollment ID: I20190618003438 |
| Provider Name | Michelle Tran Nishku |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922664564 PECOS PAC ID: 3971838079 Enrollment ID: I20190725003159 |
| Provider Name | Polin Lay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699334201 PECOS PAC ID: 2163757063 Enrollment ID: I20190729002193 |
| Provider Name | Tina Douroudian |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154762144 PECOS PAC ID: 0941432306 Enrollment ID: I20190813002525 |
| Provider Name | Queena Singh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710345368 PECOS PAC ID: 6507165990 Enrollment ID: I20200428000348 |
| Provider Name | Chinweuba Obi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548638810 PECOS PAC ID: 2062720543 Enrollment ID: I20200610001025 |
| Provider Name | Gooya Goudarzi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598222457 PECOS PAC ID: 4789910076 Enrollment ID: I20200918000052 |
| Provider Name | Melani Cruz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487121232 PECOS PAC ID: 3072918176 Enrollment ID: I20210827002078 |
| Provider Name | Thomas Finley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396766713 PECOS PAC ID: 4880581016 Enrollment ID: I20220104001020 |
| Provider Name | Ann L Poloncak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659714137 PECOS PAC ID: 7911143250 Enrollment ID: I20220816000389 |
| Provider Name | Krista Lynn Greene |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396277885 PECOS PAC ID: 0941674287 Enrollment ID: I20230329000729 |
| Provider Name | Ali Al-sherifi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528190527 PECOS PAC ID: 1355790973 Enrollment ID: I20231211003310 |
| Provider Name | Gurveen Kour |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750140554 PECOS PAC ID: 0143668061 Enrollment ID: I20240415001053 |
| Provider Name | Marya Siddiq |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750130035 PECOS PAC ID: 8921541590 Enrollment ID: I20240716000158 |
| Provider Name | Diana Mamoud |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811746423 PECOS PAC ID: 7618403395 Enrollment ID: I20250107002986 |
| Mailing Address | Practice Location Address |
|---|---|
| Manassas Optometry, Llc 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Manassas Optometry, Llc 9675 Liberia Ave, # 108, Manassas, VA 20110-1741 Ph: (703) 331-2122 |
Dr. Peter Tien Dzung Pham, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8300 Sudley Rd, Ste I-6, Manassas, VA 20109 Phone: 850-384-1554 | |
Dr. Mylynn Cheung, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7412 Stream Walk Ln, Manassas, VA 20109 Phone: 703-368-5557 Fax: 703-330-7659 | |
Dr. Elena C Byrnes, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8912 Centreville Rd, Manassas, VA 20110 Phone: 703-361-6151 Fax: 703-361-1750 | |
Orbal Mariam Anwari, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9405 Liberia Ave, Manassas, VA 20110 Phone: 703-722-4915 | |
Campbell Eye Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 10660 Crestwood Dr, Manassas, VA 20109 Phone: 919-602-3719 | |
Dr. Thomas B Wood, OD Optometrist Medicare: Medicare Enrolled Practice Location: 10660 Crestwood Dr, Manassas, VA 20109 Phone: 703-369-3937 Fax: 703-369-7147 | |
Joseph V. Otto, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 7519 Presidential Ln, Manassas, VA 20109 Phone: 703-257-7587 |