| Columbia Optometry, Llc | |
|
1950 Old Gallows Rd, Suite 520, Vienna, VA 22182-3990 | |
| (703) 847-8899 | |
| (703) 991-0514 |
| Full Name | Columbia Optometry, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1950 Old Gallows Rd, Vienna, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124305388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Michael L. Schwartz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912068826 PECOS PAC ID: 5698750701 Enrollment ID: I20040622001638 |
| Provider Name | Joseph L Derose |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679516595 PECOS PAC ID: 5698741940 Enrollment ID: I20040908000541 |
| Provider Name | Theresa M Shin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053300616 PECOS PAC ID: 7315953098 Enrollment ID: I20060306000099 |
| Provider Name | Mehrdad Keramati |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811968167 PECOS PAC ID: 3173531894 Enrollment ID: I20060322000394 |
| Provider Name | Alizzi J Stanchel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033398029 PECOS PAC ID: 0749354652 Enrollment ID: I20080811000160 |
| Provider Name | Hannah Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891987723 PECOS PAC ID: 6608959515 Enrollment ID: I20090105000347 |
| Provider Name | Howard S. Nachman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710011770 PECOS PAC ID: 6406883917 Enrollment ID: I20090327000008 |
| Provider Name | Iva Nosi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275763500 PECOS PAC ID: 5294880449 Enrollment ID: I20090911000328 |
| Provider Name | Shruti Rohit Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396975355 PECOS PAC ID: 9830231786 Enrollment ID: I20100115000280 |
| Provider Name | Julian M Levy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578647715 PECOS PAC ID: 4688706104 Enrollment ID: I20100720000275 |
| Provider Name | Robert Dobrusin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467411603 PECOS PAC ID: 3476645623 Enrollment ID: I20100728000750 |
| Provider Name | Janice Anita Simmons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033266119 PECOS PAC ID: 1557548112 Enrollment ID: I20110607000738 |
| Provider Name | Sepideh Zarani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235418583 PECOS PAC ID: 6406026400 Enrollment ID: I20110831000037 |
| Provider Name | Lila A Goodwin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669483301 PECOS PAC ID: 6204010655 Enrollment ID: I20120209000667 |
| Provider Name | Eric Goulston |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023114279 PECOS PAC ID: 7012171994 Enrollment ID: I20120625000656 |
| Provider Name | Susan B Schultz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255429551 PECOS PAC ID: 8628225406 Enrollment ID: I20120830000036 |
| Provider Name | James Francis Smeriglio |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003011636 PECOS PAC ID: 2163673096 Enrollment ID: I20121127000120 |
| Provider Name | Stephen Mark Polakoff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265420921 PECOS PAC ID: 8628194230 Enrollment ID: I20130327000295 |
| Provider Name | Brian Gonzales |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720150915 PECOS PAC ID: 9931340973 Enrollment ID: I20130802000236 |
| Provider Name | Cerella Rainey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003083486 PECOS PAC ID: 6608018262 Enrollment ID: I20130809000549 |
| Provider Name | Kurt George Kull |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386059566 PECOS PAC ID: 9638390958 Enrollment ID: I20141029001505 |
| Provider Name | Michael S Krimigis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104960129 PECOS PAC ID: 2163596495 Enrollment ID: I20150106001643 |
| Provider Name | Jasleen K Bedi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194843771 PECOS PAC ID: 4284958760 Enrollment ID: I20150113000468 |
| Provider Name | Steven Abraham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972943173 PECOS PAC ID: 9032349964 Enrollment ID: I20150323001868 |
| Provider Name | Nancy Cooper-gregory |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932283579 PECOS PAC ID: 5092964478 Enrollment ID: I20150401000227 |
| Provider Name | Syed Hussain |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902031578 PECOS PAC ID: 0345561981 Enrollment ID: I20150608001026 |
| Provider Name | Thomas Rooney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083095020 PECOS PAC ID: 0143533539 Enrollment ID: I20150714001420 |
| Provider Name | Cerina Leigh Buchanan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588031793 PECOS PAC ID: 0648571232 Enrollment ID: I20151228001042 |
| Provider Name | Kevin Mathes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831477488 PECOS PAC ID: 9032381876 Enrollment ID: I20160523001628 |
| Provider Name | Alan Friedman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386660348 PECOS PAC ID: 7517256969 Enrollment ID: I20160525001492 |
| Provider Name | Mashael Al-namaeh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669781670 PECOS PAC ID: 2860640604 Enrollment ID: I20160701001652 |
| Provider Name | Enrique Gonzalez-bernard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871750133 PECOS PAC ID: 1759687825 Enrollment ID: I20160711000410 |
| Provider Name | Helen H Wang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992157564 PECOS PAC ID: 3274812441 Enrollment ID: I20161110000825 |
| Provider Name | Anum A Ali |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356724769 PECOS PAC ID: 4082920186 Enrollment ID: I20171003006647 |
| Provider Name | Lauren Knott Stephens |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265638316 PECOS PAC ID: 9739140435 Enrollment ID: I20180122000219 |
| Provider Name | Roderick Lucien Swift |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467947812 PECOS PAC ID: 6305196320 Enrollment ID: I20180912000960 |
| Provider Name | Cynthia L Reynolds-temple |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932194891 PECOS PAC ID: 0547167710 Enrollment ID: I20181203001896 |
| Provider Name | Kelci Walters |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518433796 PECOS PAC ID: 9436497005 Enrollment ID: I20190207000186 |
| Provider Name | Hares Banuwal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285293100 PECOS PAC ID: 2668707142 Enrollment ID: I20190708000446 |
| Provider Name | Gerald Neil Frishman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699837286 PECOS PAC ID: 7517006224 Enrollment ID: I20190828002656 |
| Provider Name | Elaine Yulien Hse |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750431573 PECOS PAC ID: 2062743685 Enrollment ID: I20191014001021 |
| Provider Name | Thomas Jacob Vaxmonsky |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043370828 PECOS PAC ID: 2860674413 Enrollment ID: I20191218000033 |
| Provider Name | Alexandra Alvarez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235752528 PECOS PAC ID: 1153744842 Enrollment ID: I20200714001926 |
| Provider Name | Dominic Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205454055 PECOS PAC ID: 0446675607 Enrollment ID: I20210607002020 |
| Provider Name | Caroline Krupa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336717768 PECOS PAC ID: 2668874116 Enrollment ID: I20210707001540 |
| Provider Name | Adel Ebraheem |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851961726 PECOS PAC ID: 6709281983 Enrollment ID: I20210826000968 |
| Provider Name | Sarah Burlock Mahmoud |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699344960 PECOS PAC ID: 0941608632 Enrollment ID: I20211011001679 |
| Provider Name | Ryan Shaun Sullivan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013661198 PECOS PAC ID: 2365836194 Enrollment ID: I20220222000189 |
| Provider Name | Dalia Nader Elkassabany |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134657885 PECOS PAC ID: 0547507063 Enrollment ID: I20220823004203 |
| Provider Name | Abraham Solomon Zuckerbrod |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205106648 PECOS PAC ID: 8224413596 Enrollment ID: I20220922002111 |
| Provider Name | Rossana Luna |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457664302 PECOS PAC ID: 9234324880 Enrollment ID: I20230109000028 |
| Provider Name | David Rosner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912682071 PECOS PAC ID: 0244691525 Enrollment ID: I20230802003966 |
| Provider Name | Bethel Yoseph |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629740840 PECOS PAC ID: 5991180507 Enrollment ID: I20230926002000 |
| Provider Name | Stephanie Cathell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841801487 PECOS PAC ID: 2062810559 Enrollment ID: I20240212003351 |
| Provider Name | Obinna Odozor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518647049 PECOS PAC ID: 3072968270 Enrollment ID: I20240513000388 |
| Provider Name | Krupa Baxi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174302319 PECOS PAC ID: 4981135266 Enrollment ID: I20240927002989 |
| Provider Name | Nia Ebrahim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336982750 PECOS PAC ID: 5294268520 Enrollment ID: I20241025000138 |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Optometry, Llc 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Columbia Optometry, Llc 1950 Old Gallows Rd, Suite 520, Vienna, VA 22182-3990 Ph: (703) 847-8899 |
C. Richard Snively, Jr., O.d.,p.c. Optometrist Medicare: Medicare Enrolled Practice Location: 120 Beulah Rd Ne, Vienna, VA 22180 Phone: 703-938-7633 Fax: 703-938-4407 | |
Leady Dallan Collazos Quiroga, OPTOMETRIST Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8614 Westwood Center Dr Fl 9, Vienna, VA 22182 Phone: 504-432-4692 Fax: 703-923-5043 | |
Marjan Keramati, OD Optometrist Medicare: Medicare Enrolled Practice Location: 8359 Leesburg Pike, Vienna, VA 22182 Phone: 703-442-9295 Fax: 703-749-0936 | |
The Lasik Vision Institue, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8614 Westwood Center Dr, Suite 650, Vienna, VA 22182 Phone: 703-734-6030 Fax: 706-243-4627 | |
Frank Cassella, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 401 Maple Ave W, Vienna, VA 22180 Phone: 703-938-5544 Fax: 703-938-5542 | |
Dr. Nicole Marie Ardura, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 120 Beulah Rd Ne, Vienna, VA 22180 Phone: 703-938-7633 Fax: 703-938-4407 | |
Dr. Charles Henry Kinney, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1950 Old Gallows Rd, Suite 520, Vienna, VA 22182 Phone: 703-847-8899 Fax: 703-991-4051 |