| Myeyedr | |
|
44727 Brimfield Dr, Ashburn, VA 20147-5920 | |
| (571) 385-4600 | |
| (571) 385-4605 |
| Full Name | Myeyedr |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 44727 Brimfield Dr, Ashburn, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174933691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Joanna C Kushon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730105677 PECOS PAC ID: 6608789565 Enrollment ID: I20031107000235 |
| Provider Name | Patrick Fleming |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336224542 PECOS PAC ID: 5890609572 Enrollment ID: I20031117000755 |
| Provider Name | Gregory J Katchuk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023190030 PECOS PAC ID: 8325036866 Enrollment ID: I20040504000722 |
| Provider Name | Teresa N Furman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346325545 PECOS PAC ID: 9537138417 Enrollment ID: I20040928000409 |
| Provider Name | Khanh T Chang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245401108 PECOS PAC ID: 7416910765 Enrollment ID: I20041108000506 |
| Provider Name | Robert M Resnick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073698270 PECOS PAC ID: 7416910211 Enrollment ID: I20041111000398 |
| Provider Name | Clifford I Phillips |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770501546 PECOS PAC ID: 3971560210 Enrollment ID: I20041217000521 |
| Provider Name | Stephen W Record |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225075732 PECOS PAC ID: 8921065186 Enrollment ID: I20041220000437 |
| Provider Name | Nicole G Teser |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316029739 PECOS PAC ID: 8729039045 Enrollment ID: I20050203000740 |
| Provider Name | Joel E Cooley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184755035 PECOS PAC ID: 1153378005 Enrollment ID: I20050404000531 |
| Provider Name | Jan R Barklund |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679550826 PECOS PAC ID: 7911948096 Enrollment ID: I20050518001246 |
| Provider Name | Aaron J Figler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235187329 PECOS PAC ID: 6901842194 Enrollment ID: I20050628000863 |
| Provider Name | Myron E Wasiuta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245219203 PECOS PAC ID: 2062449523 Enrollment ID: I20050726001027 |
| Provider Name | Jesse Chawla |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548380249 PECOS PAC ID: 1850326216 Enrollment ID: I20051004000992 |
| Provider Name | Michael Xu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578626404 PECOS PAC ID: 7012982812 Enrollment ID: I20051122000851 |
| Provider Name | Jeanne I Ruff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306950027 PECOS PAC ID: 4385664374 Enrollment ID: I20051206000475 |
| Provider Name | Jack Stern |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548338171 PECOS PAC ID: 6305868258 Enrollment ID: I20051220000847 |
| Provider Name | Paul Thien Colbourne |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134286974 PECOS PAC ID: 0749204709 Enrollment ID: I20060118000379 |
| Provider Name | Tamara J Brothers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659368983 PECOS PAC ID: 9638274475 Enrollment ID: I20070423000549 |
| Provider Name | Joseph M Digirolamo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154302396 PECOS PAC ID: 1153429923 Enrollment ID: I20070604000122 |
| Provider Name | Russel E Bessell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487693883 PECOS PAC ID: 6406956572 Enrollment ID: I20070703000432 |
| Provider Name | Neda Farahmand |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629098439 PECOS PAC ID: 8628164365 Enrollment ID: I20071011000229 |
| Provider Name | Gordon V Culp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003879834 PECOS PAC ID: 9830286947 Enrollment ID: I20071106000211 |
| Provider Name | Aaditya Ajmani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053441360 PECOS PAC ID: 4486738101 Enrollment ID: I20080219000855 |
| Provider Name | Nicholas G Luthman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285621706 PECOS PAC ID: 5890879084 Enrollment ID: I20080227000082 |
| Provider Name | Frank Cassella |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104018746 PECOS PAC ID: 2365527314 Enrollment ID: I20080314000281 |
| Provider Name | Matthew H Harpin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568515666 PECOS PAC ID: 1254402795 Enrollment ID: I20080611000440 |
| Provider Name | Michael S Krimigis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104960129 PECOS PAC ID: 2163596495 Enrollment ID: I20080805000660 |
| Provider Name | Kristy E Ambrose |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306030408 PECOS PAC ID: 0749343085 Enrollment ID: I20090113000064 |
| Provider Name | Kenneth Arndt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225148232 PECOS PAC ID: 5799840161 Enrollment ID: I20090218000664 |
| Provider Name | Ewing R Mcclelland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568690774 PECOS PAC ID: 3375697733 Enrollment ID: I20090819000454 |
| Provider Name | George Thomas Rader |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528069747 PECOS PAC ID: 1254480312 Enrollment ID: I20100528000303 |
| Provider Name | Craig E Labell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467537662 PECOS PAC ID: 2961532148 Enrollment ID: I20100615000290 |
| Provider Name | Lynne M Schleede |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710062914 PECOS PAC ID: 6103957634 Enrollment ID: I20100628000794 |
| Provider Name | Vincent A Bertomeu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003074139 PECOS PAC ID: 2961436209 Enrollment ID: I20100813000736 |
| Provider Name | Christi Marrow |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518956861 PECOS PAC ID: 1254375900 Enrollment ID: I20100909000446 |
| Provider Name | Susan Natoli Mueller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700816337 PECOS PAC ID: 5698890366 Enrollment ID: I20100917000888 |
| Provider Name | Frank Villa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366448144 PECOS PAC ID: 8123144326 Enrollment ID: I20100924000948 |
| Provider Name | Michael P Gowen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831170026 PECOS PAC ID: 1951475649 Enrollment ID: I20101021001106 |
| Provider Name | Jennifer W Sun |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265660575 PECOS PAC ID: 9638365786 Enrollment ID: I20101201000415 |
| Provider Name | Christeen Min |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275703068 PECOS PAC ID: 3173710837 Enrollment ID: I20101221000239 |
| Provider Name | Hieu Vu-gia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639213788 PECOS PAC ID: 4486836624 Enrollment ID: I20110310000069 |
| Provider Name | Tiffany D Lione |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649243908 PECOS PAC ID: 5395927537 Enrollment ID: I20110310000091 |
| Provider Name | Karyn R Seffens |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619087079 PECOS PAC ID: 1254330699 Enrollment ID: I20110312000054 |
| Provider Name | Jack David Cadenhead |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558401034 PECOS PAC ID: 8628251816 Enrollment ID: I20110325000187 |
| Provider Name | Suzanne S. Matriccino |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609095462 PECOS PAC ID: 6204011315 Enrollment ID: I20110504000416 |
| Provider Name | Monica Lynn Bishop |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679655708 PECOS PAC ID: 2961687983 Enrollment ID: I20110505000855 |
| Provider Name | Nina M Dalsania Makadia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467760066 PECOS PAC ID: 5395921852 Enrollment ID: I20110517000780 |
| Provider Name | Steven M Laderberg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538155577 PECOS PAC ID: 0941486161 Enrollment ID: I20110523000701 |
| Provider Name | Veronica B Fowler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982681797 PECOS PAC ID: 8820266174 Enrollment ID: I20110713000076 |
| Provider Name | Jing Guo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487630067 PECOS PAC ID: 2567484561 Enrollment ID: I20111005000897 |
| Provider Name | Gary Houston St Clair |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548274657 PECOS PAC ID: 4082781307 Enrollment ID: I20111011000344 |
| Provider Name | Nazanin Latifi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043508161 PECOS PAC ID: 5799958575 Enrollment ID: I20111024000727 |
| Provider Name | David Clauss |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225112147 PECOS PAC ID: 1052584554 Enrollment ID: I20111028000144 |
| Provider Name | Janice E Di Girolamo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568443737 PECOS PAC ID: 1153594270 Enrollment ID: I20111104000119 |
| Provider Name | Kenneth R Epperson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194735506 PECOS PAC ID: 0648445544 Enrollment ID: I20111205000269 |
| Provider Name | Renu Mathew |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831112911 PECOS PAC ID: 3375626369 Enrollment ID: I20111216000149 |
| Provider Name | Michael Wayne Henderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104980341 PECOS PAC ID: 0345342481 Enrollment ID: I20120413000220 |
| Provider Name | Robert M Allen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467424275 PECOS PAC ID: 2365405552 Enrollment ID: I20120713000312 |
| Provider Name | Robin Ayers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770517328 PECOS PAC ID: 4385800077 Enrollment ID: I20120725000076 |
| Provider Name | Ryan W Doran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497063622 PECOS PAC ID: 1456529973 Enrollment ID: I20120813000003 |
| Provider Name | Diana J Slavin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659490142 PECOS PAC ID: 2264698141 Enrollment ID: I20120918000933 |
| Provider Name | John W Dresely |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861500852 PECOS PAC ID: 5496903239 Enrollment ID: I20120919000673 |
| Provider Name | Thomas Blackburn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255687554 PECOS PAC ID: 4981854536 Enrollment ID: I20121017000573 |
| Provider Name | Ashley C Veloso |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982797510 PECOS PAC ID: 7416068200 Enrollment ID: I20121113000212 |
| Provider Name | Jessica Ann Grimes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609137611 PECOS PAC ID: 2567614878 Enrollment ID: I20121213000382 |
| Provider Name | Kristen M Montgomery |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083979173 PECOS PAC ID: 9234380312 Enrollment ID: I20121218000215 |
| Provider Name | Hemali B. Jardosh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144537218 PECOS PAC ID: 6709066558 Enrollment ID: I20130222000539 |
| Provider Name | Jeffrey C Shelton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912937855 PECOS PAC ID: 6204072440 Enrollment ID: I20130415000106 |
| Provider Name | Jayeanna Rae Hanning |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225000615 PECOS PAC ID: 9133134695 Enrollment ID: I20130529000451 |
| Provider Name | Kristy L Campbell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437305976 PECOS PAC ID: 7416198403 Enrollment ID: I20130802000730 |
| Provider Name | Ahmed Q. Al-sayyad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841638756 PECOS PAC ID: 7012142441 Enrollment ID: I20131021000493 |
| Provider Name | Stephen L Crawford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194717579 PECOS PAC ID: 3779719802 Enrollment ID: I20131120001239 |
| Provider Name | Lisa M Bennett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285678722 PECOS PAC ID: 2264669944 Enrollment ID: I20131231000213 |
| Provider Name | John Anthony Stacy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710310875 PECOS PAC ID: 6406085216 Enrollment ID: I20140127000783 |
| Provider Name | Gabriel Santos-delgado |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760724777 PECOS PAC ID: 4183848732 Enrollment ID: I20140620002179 |
| Provider Name | Lisa Abraham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477897346 PECOS PAC ID: 8426283920 Enrollment ID: I20140911000825 |
| Provider Name | Steven Rosinski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801175096 PECOS PAC ID: 4981865417 Enrollment ID: I20141112001254 |
| Provider Name | Sun Hee Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932516937 PECOS PAC ID: 3072735356 Enrollment ID: I20141121001077 |
| Provider Name | Adrian Al-damari |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841606472 PECOS PAC ID: 6406178771 Enrollment ID: I20141124001468 |
| Provider Name | Oanh K Bui-platten |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639292261 PECOS PAC ID: 9032217419 Enrollment ID: I20141125000641 |
| Provider Name | Monica N Taxali |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851531651 PECOS PAC ID: 4284958042 Enrollment ID: I20150127000607 |
| Provider Name | Heather A. Burton-zalar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235409954 PECOS PAC ID: 3870819907 Enrollment ID: I20150306001345 |
| Provider Name | Gurkiran Virdee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942604491 PECOS PAC ID: 1254643505 Enrollment ID: I20150630001102 |
| Provider Name | Katherine Welch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730588450 PECOS PAC ID: 7810203395 Enrollment ID: I20150828000618 |
| Provider Name | Danah N. Harbi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972847739 PECOS PAC ID: 1456676253 Enrollment ID: I20150918001052 |
| Provider Name | Robert Welch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396115226 PECOS PAC ID: 3971803552 Enrollment ID: I20151203002856 |
| Provider Name | Mehrnoosh K Badiee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205270170 PECOS PAC ID: 6305147497 Enrollment ID: I20160111002832 |
| 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 | Norlando Conanan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013133404 PECOS PAC ID: 0042511610 Enrollment ID: I20160523001269 |
| Provider Name | Isha Khosa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740687789 PECOS PAC ID: 5799077624 Enrollment ID: I20160713000467 |
| Provider Name | Kesha S Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386097301 PECOS PAC ID: 6305126020 Enrollment ID: I20161216000961 |
| Provider Name | Samuel Cox |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972608974 PECOS PAC ID: 2264524503 Enrollment ID: I20170228000369 |
| Provider Name | Nicole A Marshall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164433892 PECOS PAC ID: 7113201591 Enrollment ID: I20170302001389 |
| Provider Name | Richard S Katz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508981069 PECOS PAC ID: 6002079811 Enrollment ID: I20170314000799 |
| Provider Name | Deborah Kim Cho |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114188257 PECOS PAC ID: 0446439442 Enrollment ID: I20170328000066 |
| Provider Name | Leonard G Larson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780767152 PECOS PAC ID: 4587961750 Enrollment ID: I20170502000391 |
| Provider Name | Thomas E Rozelle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023490760 PECOS PAC ID: 6709163025 Enrollment ID: I20170515000728 |
| Provider Name | Stacy M Jaffe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720451321 PECOS PAC ID: 0446527410 Enrollment ID: I20170522002720 |
| Provider Name | Chelsea R Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932558350 PECOS PAC ID: 1254600307 Enrollment ID: I20170705000355 |
| Provider Name | Patricia A Clubb |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518493451 PECOS PAC ID: 0941570535 Enrollment ID: I20170815000598 |
| Provider Name | Deena Tailor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104356815 PECOS PAC ID: 1456623743 Enrollment ID: I20170918001718 |
| Provider Name | Arezou Azizaldin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225550742 PECOS PAC ID: 9335415132 Enrollment ID: I20171023002785 |
| Provider Name | Alyssa M Shema |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083139463 PECOS PAC ID: 3678839669 Enrollment ID: I20171129002826 |
| Provider Name | Columbia T Herzlinger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750810396 PECOS PAC ID: 2264798651 Enrollment ID: I20171130000130 |
| Provider Name | Nadeen M Al-ghandour |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710401195 PECOS PAC ID: 6305103219 Enrollment ID: I20171201001813 |
| Provider Name | Ali Ghanbari |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568990901 PECOS PAC ID: 9234496852 Enrollment ID: I20171206001177 |
| Provider Name | Rosa Guerreiro |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104859503 PECOS PAC ID: 0547404170 Enrollment ID: I20171211002415 |
| Provider Name | Annie Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467976910 PECOS PAC ID: 4880951326 Enrollment ID: I20171218000400 |
| Provider Name | Nicole T Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447788054 PECOS PAC ID: 5597023705 Enrollment ID: I20171218000530 |
| Provider Name | Naghmeh Zaer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417260894 PECOS PAC ID: 4284870528 Enrollment ID: I20180120000011 |
| Provider Name | Ahmad Zia Zahir |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912434176 PECOS PAC ID: 1850650375 Enrollment ID: I20180126001694 |
| Provider Name | Ansu Mariam Nathan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831504976 PECOS PAC ID: 4284994351 Enrollment ID: I20180209001270 |
| Provider Name | Ashwynn Dawn Halbert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801122866 PECOS PAC ID: 9133261944 Enrollment ID: I20180209002238 |
| 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 | Peter Edward Carra |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417148255 PECOS PAC ID: 3173885308 Enrollment ID: I20180328002342 |
| Provider Name | Malalai Yarzada |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245682657 PECOS PAC ID: 3870855026 Enrollment ID: I20180416002119 |
| Provider Name | Sahar Moghadam Emami |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306361282 PECOS PAC ID: 8123381894 Enrollment ID: I20180430001483 |
| Provider Name | Kristin Schwab |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487157251 PECOS PAC ID: 2062777089 Enrollment ID: I20180522002773 |
| Provider Name | Shannon Sumi Suh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407945819 PECOS PAC ID: 1254381130 Enrollment ID: I20180601000064 |
| Provider Name | Kenneth Kisamore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154364800 PECOS PAC ID: 4082717475 Enrollment ID: I20180605000023 |
| Provider Name | Stacey Flynt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639661085 PECOS PAC ID: 0749530962 Enrollment ID: I20180910003027 |
| Provider Name | Bogdan S Grynyk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720574759 PECOS PAC ID: 0547511560 Enrollment ID: I20181001001628 |
| Provider Name | Mojgan Haghshenas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386678324 PECOS PAC ID: 0547348856 Enrollment ID: I20181010001228 |
| Provider Name | Fausta Tabe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124366190 PECOS PAC ID: 2567714017 Enrollment ID: I20181010002648 |
| Provider Name | Artis L Beatty |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972567006 PECOS PAC ID: 6800806092 Enrollment ID: I20181015000503 |
| Provider Name | Dhara Shailesh Shah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972056703 PECOS PAC ID: 0941568521 Enrollment ID: I20181220000200 |
| Provider Name | Alice Tseng |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821050220 PECOS PAC ID: 8729261102 Enrollment ID: I20190115000002 |
| Provider Name | Areen Amjad Hosein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568948487 PECOS PAC ID: 5395081244 Enrollment ID: I20190128001590 |
| Provider Name | Meklit Million1 Abebe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538544457 PECOS PAC ID: 8426366402 Enrollment ID: I20190214001820 |
| Provider Name | Nicole Elizabeth Salomone |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184769002 PECOS PAC ID: 3678814340 Enrollment ID: I20190410000275 |
| Provider Name | Demet Denise Tunc |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356552681 PECOS PAC ID: 4688917099 Enrollment ID: I20190618003438 |
| Provider Name | Michelle 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 | Samantha M Duplak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487216008 PECOS PAC ID: 1850629692 Enrollment ID: I20190819000642 |
| Provider Name | Christine Poulose |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962973693 PECOS PAC ID: 0345570545 Enrollment ID: I20191002000601 |
| Provider Name | Van Anh Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922003748 PECOS PAC ID: 0042297715 Enrollment ID: I20191119000867 |
| Provider Name | Brenna Rose Robertson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710327770 PECOS PAC ID: 1658693544 Enrollment ID: I20191121001305 |
| Provider Name | Randa Edelbi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710546452 PECOS PAC ID: 0648502724 Enrollment ID: I20200123002018 |
| Provider Name | Harjot Kaur |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578083150 PECOS PAC ID: 7113293325 Enrollment ID: I20200217004826 |
| Provider Name | Douglas L Cassidy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649347600 PECOS PAC ID: 2163859638 Enrollment ID: I20200221001183 |
| Provider Name | Jocelie Almorado |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457863870 PECOS PAC ID: 7517227580 Enrollment ID: I20200226001619 |
| Provider Name | Heather Bae |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578102679 PECOS PAC ID: 7719315092 Enrollment ID: I20200319002834 |
| Provider Name | Queena Singh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710345368 PECOS PAC ID: 6507165990 Enrollment ID: I20200428000348 |
| Provider Name | Samantha Kayser |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730699943 PECOS PAC ID: 4385904390 Enrollment ID: I20200429000511 |
| Provider Name | Michael Bert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306844261 PECOS PAC ID: 5991998874 Enrollment ID: I20200522000419 |
| Provider Name | Corey Crouch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457912578 PECOS PAC ID: 1658607825 Enrollment ID: I20200522001133 |
| Provider Name | Dorothy Brodmann |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922077916 PECOS PAC ID: 4183639495 Enrollment ID: I20200527002263 |
| Provider Name | Celina Fraire |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952921785 PECOS PAC ID: 5395166268 Enrollment ID: I20200602000495 |
| Provider Name | Jeromica Bosshera Ward |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295387629 PECOS PAC ID: 0648692418 Enrollment ID: I20200624001107 |
| Provider Name | Paige Paulas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144843525 PECOS PAC ID: 8123440724 Enrollment ID: I20200629001749 |
| Provider Name | Ariel J Taylor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598388001 PECOS PAC ID: 5890117303 Enrollment ID: I20200629002580 |
| Provider Name | Gooya Goudarzi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598222457 PECOS PAC ID: 4789910076 Enrollment ID: I20200918000052 |
| Provider Name | Khushboo Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992325823 PECOS PAC ID: 6507284924 Enrollment ID: I20200921000519 |
| Provider Name | Anupreet Chawla |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902110612 PECOS PAC ID: 1557550522 Enrollment ID: I20201002000477 |
| Provider Name | Kevin Bird |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588267314 PECOS PAC ID: 9931511649 Enrollment ID: I20201221002128 |
| Provider Name | Alyssa Chrisman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487278479 PECOS PAC ID: 7416375654 Enrollment ID: I20210113001980 |
| Provider Name | Amit Chohan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962016998 PECOS PAC ID: 2062827447 Enrollment ID: I20210217000582 |
| Provider Name | David Morrison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710984109 PECOS PAC ID: 2961407226 Enrollment ID: I20210305000398 |
| Provider Name | Athamandia Perry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891369948 PECOS PAC ID: 4789086133 Enrollment ID: I20210708001040 |
| Provider Name | Melani Cruz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487121232 PECOS PAC ID: 3072918176 Enrollment ID: I20210827002078 |
| Provider Name | Alan Van |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356014773 PECOS PAC ID: 7315343621 Enrollment ID: I20210913001959 |
| Provider Name | Antonio Campbell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912107905 PECOS PAC ID: 5698926012 Enrollment ID: I20210915000491 |
| Provider Name | Scott Bauer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558987354 PECOS PAC ID: 2163829920 Enrollment ID: I20210921001445 |
| Provider Name | Pamela Marie Marzec |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134472996 PECOS PAC ID: 5092958942 Enrollment ID: I20210923002803 |
| Provider Name | Jacqueline Evans |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053726315 PECOS PAC ID: 4587997473 Enrollment ID: I20210923002946 |
| Provider Name | Theresa Wang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881021186 PECOS PAC ID: 2163746397 Enrollment ID: I20210924000205 |
| Provider Name | Teresa Pham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376685966 PECOS PAC ID: 7214249309 Enrollment ID: I20210924000291 |
| Provider Name | Selvin Gnanakkan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104980846 PECOS PAC ID: 1456317510 Enrollment ID: I20210924000724 |
| Provider Name | Saadi Darvish |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003822834 PECOS PAC ID: 4688847478 Enrollment ID: I20210924000839 |
| Provider Name | Christine Kantor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235145764 PECOS PAC ID: 6103821921 Enrollment ID: I20210924001877 |
| Provider Name | Celesta Ribas Ferreira |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518407535 PECOS PAC ID: 6608136023 Enrollment ID: I20210924002337 |
| Provider Name | Adam Sweeney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487961967 PECOS PAC ID: 2264627355 Enrollment ID: I20211011003157 |
| Provider Name | Deanna Ippolito |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225683121 PECOS PAC ID: 8426388257 Enrollment ID: I20211015001871 |
| Provider Name | Mayisha Ahsan-khan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518552041 PECOS PAC ID: 6901204379 Enrollment ID: I20211021000982 |
| Provider Name | Karen Mohar Sanghera |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467884817 PECOS PAC ID: 0446477798 Enrollment ID: I20211027000317 |
| Provider Name | Chantal Mccarron |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205906104 PECOS PAC ID: 2860557303 Enrollment ID: I20211029000915 |
| Provider Name | Philip Potts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952449837 PECOS PAC ID: 3375648660 Enrollment ID: I20211103001831 |
| Provider Name | Yea Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821580796 PECOS PAC ID: 7315349339 Enrollment ID: I20211122000838 |
| Provider Name | Van-anh Huynh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770036212 PECOS PAC ID: 4688072622 Enrollment ID: I20211124000174 |
| Provider Name | Jenny Michelle Soo Hoo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124401427 PECOS PAC ID: 1850605767 Enrollment ID: I20211221000672 |
| Provider Name | Hafeezah Omar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952856700 PECOS PAC ID: 4587090832 Enrollment ID: I20211221003005 |
| Provider Name | Saher Sayed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538610100 PECOS PAC ID: 5092074609 Enrollment ID: I20211227001390 |
| Provider Name | Gregory D Foley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801889530 PECOS PAC ID: 8820157175 Enrollment ID: I20211229000413 |
| Provider Name | Colin Grant |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508207572 PECOS PAC ID: 8325282742 Enrollment ID: I20220103001293 |
| Provider Name | Thomas Finley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396766713 PECOS PAC ID: 4880581016 Enrollment ID: I20220104001020 |
| Provider Name | Lina Mojarrad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679131163 PECOS PAC ID: 3577983378 Enrollment ID: I20220104001234 |
| Provider Name | Patricia Shustock |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326077157 PECOS PAC ID: 5991738957 Enrollment ID: I20220125003109 |
| Provider Name | Fabrice Djoko Dzuguia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285288506 PECOS PAC ID: 5294166559 Enrollment ID: I20220223000110 |
| Provider Name | Rachel Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063073443 PECOS PAC ID: 6103154281 Enrollment ID: I20220223001769 |
| Provider Name | Jodi Naik |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831853563 PECOS PAC ID: 6002200482 Enrollment ID: I20220301000716 |
| Provider Name | Sarbjit Mehmi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780250266 PECOS PAC ID: 4284036401 Enrollment ID: I20220308002721 |
| Provider Name | Chantal H Jacques |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801025960 PECOS PAC ID: 8527196112 Enrollment ID: I20220420001981 |
| Provider Name | Elizabeth Choi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437775004 PECOS PAC ID: 7911301015 Enrollment ID: I20220421001999 |
| Provider Name | Mahtab Vaziri |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568405215 PECOS PAC ID: 9436252509 Enrollment ID: I20220427001656 |
| Provider Name | Yasmine Fozooni |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558417709 PECOS PAC ID: 1456333004 Enrollment ID: I20220502001257 |
| Provider Name | Jung Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114501657 PECOS PAC ID: 0749681005 Enrollment ID: I20220506000044 |
| Provider Name | Minami Kurose |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134624240 PECOS PAC ID: 7012264658 Enrollment ID: I20220510000034 |
| Provider Name | Danielle Hester |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285370643 PECOS PAC ID: 4284012824 Enrollment ID: I20220609001871 |
| Provider Name | Morgan Maharty |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164166930 PECOS PAC ID: 4789064437 Enrollment ID: I20220712001559 |
| Provider Name | Malay Pansheria |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821471657 PECOS PAC ID: 4082904214 Enrollment ID: I20220713004396 |
| Provider Name | Jared Grant |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821472267 PECOS PAC ID: 7517261829 Enrollment ID: I20220718001354 |
| Provider Name | Ann L Poloncak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659714137 PECOS PAC ID: 7911143250 Enrollment ID: I20220816000389 |
| Provider Name | Maheen Hashmi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285151910 PECOS PAC ID: 8325307960 Enrollment ID: I20220830000145 |
| Provider Name | Sukhman Kaur Virk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427783893 PECOS PAC ID: 8123403037 Enrollment ID: I20220913003244 |
| Provider Name | Jennifer Eliska Butler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952976201 PECOS PAC ID: 2163807876 Enrollment ID: I20220916001305 |
| Provider Name | Christine Hajduk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245301191 PECOS PAC ID: 7517918303 Enrollment ID: I20220920000497 |
| Provider Name | Sonal Desai |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083086219 PECOS PAC ID: 9032410220 Enrollment ID: I20220920001927 |
| Provider Name | Reema Bhagat |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467946640 PECOS PAC ID: 1052664588 Enrollment ID: I20220928000845 |
| Provider Name | Amy J Berg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013028224 PECOS PAC ID: 7315939949 Enrollment ID: I20221003001533 |
| Provider Name | Vrajika Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588282156 PECOS PAC ID: 7315362217 Enrollment ID: I20221005001850 |
| Provider Name | Jesse Fertig |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366557738 PECOS PAC ID: 9739087164 Enrollment ID: I20221005003628 |
| Provider Name | Keith Schmidt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538159355 PECOS PAC ID: 1850524240 Enrollment ID: I20221006002199 |
| Provider Name | Cheryl Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912429622 PECOS PAC ID: 1254699168 Enrollment ID: I20221010000751 |
| Provider Name | Michael Joyce |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386992220 PECOS PAC ID: 5395996995 Enrollment ID: I20221012001058 |
| Provider Name | Cassandra Lappegaard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962742627 PECOS PAC ID: 3779727995 Enrollment ID: I20221018003135 |
| Provider Name | Ronald Meeker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194728188 PECOS PAC ID: 9032000286 Enrollment ID: I20221104001033 |
| Provider Name | Hannah Bowser |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598419889 PECOS PAC ID: 7416325451 Enrollment ID: I20221122001587 |
| Provider Name | Brian Lewy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750379087 PECOS PAC ID: 5597089011 Enrollment ID: I20221220001928 |
| Provider Name | Nayab Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942782321 PECOS PAC ID: 0547512030 Enrollment ID: I20221228001680 |
| Provider Name | John Stuart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841755212 PECOS PAC ID: 7315280252 Enrollment ID: I20221229001676 |
| Provider Name | David Wilson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407931629 PECOS PAC ID: 4082688551 Enrollment ID: I20230125001200 |
| Provider Name | Tania Malara |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003966839 PECOS PAC ID: 6507965589 Enrollment ID: I20230202002574 |
| Provider Name | Amir Abyaneh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699089201 PECOS PAC ID: 4486835378 Enrollment ID: I20230209000663 |
| Provider Name | Jennifer Gipp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154520666 PECOS PAC ID: 8729189899 Enrollment ID: I20230214003128 |
| Provider Name | Krista Lynn Greene |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396277885 PECOS PAC ID: 0941674287 Enrollment ID: I20230329000729 |
| Provider Name | David Hogge |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801839006 PECOS PAC ID: 0648299214 Enrollment ID: I20230421002497 |
| Provider Name | Mila Stoparic |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902320609 PECOS PAC ID: 0345606786 Enrollment ID: I20230510000755 |
| Provider Name | Noushin Sahraei Mavaneh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841937422 PECOS PAC ID: 9234595851 Enrollment ID: I20230524001186 |
| Provider Name | Makayla Cornwell-young |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346940186 PECOS PAC ID: 5991162760 Enrollment ID: I20230609001093 |
| Provider Name | Jamie Kao |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326737115 PECOS PAC ID: 4082072830 Enrollment ID: I20230627000112 |
| Provider Name | Andrew Simpson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811323199 PECOS PAC ID: 9234361031 Enrollment ID: I20230712001468 |
| Provider Name | Yaron Maya |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073566253 PECOS PAC ID: 1355247966 Enrollment ID: I20230726003564 |
| Provider Name | Dustin Briscoe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407230774 PECOS PAC ID: 8527377720 Enrollment ID: I20230801003760 |
| Provider Name | Edward Papie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639868706 PECOS PAC ID: 5799141412 Enrollment ID: I20230816002405 |
| Provider Name | Hun Ki Hong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053007344 PECOS PAC ID: 4880055797 Enrollment ID: I20230823004056 |
| Provider Name | Darah Newell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467761544 PECOS PAC ID: 2567684038 Enrollment ID: I20230829002818 |
| Provider Name | Mojdeh Samiei |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346907219 PECOS PAC ID: 7113380767 Enrollment ID: I20230829004579 |
| Provider Name | Lilan Le |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104230200 PECOS PAC ID: 9032413125 Enrollment ID: I20231027001348 |
| Provider Name | Nisma Gabr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437762176 PECOS PAC ID: 5496173668 Enrollment ID: I20231030000267 |
| Provider Name | Darshita Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588952576 PECOS PAC ID: 1951572858 Enrollment ID: I20231102003397 |
| Provider Name | Nehad Virani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598107716 PECOS PAC ID: 4789819608 Enrollment ID: I20231107001287 |
| Provider Name | Parwana Kabiri |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992585707 PECOS PAC ID: 1759738545 Enrollment ID: I20231116000978 |
| Provider Name | Rishi Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831634393 PECOS PAC ID: 2668740069 Enrollment ID: I20231205002494 |
| Provider Name | Ali Al-sherifi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528190527 PECOS PAC ID: 1355790973 Enrollment ID: I20231211003310 |
| Provider Name | Holly Moose |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992133219 PECOS PAC ID: 9638391857 Enrollment ID: I20231220000133 |
| Provider Name | Mariya Skreydel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255851721 PECOS PAC ID: 2961776208 Enrollment ID: I20231229002820 |
| Provider Name | Amber Wiggins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104551746 PECOS PAC ID: 6901274463 Enrollment ID: I20240116001428 |
| Provider Name | Alberta Dagobert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982197687 PECOS PAC ID: 8123427325 Enrollment ID: I20240130001613 |
| Provider Name | Bhoomi Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649766908 PECOS PAC ID: 7810352010 Enrollment ID: I20240213004412 |
| Provider Name | Paul Hsiao |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124247101 PECOS PAC ID: 5496922742 Enrollment ID: I20240219003130 |
| Provider Name | Ying X Narine |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659865483 PECOS PAC ID: 1951642602 Enrollment ID: I20240311002472 |
| Provider Name | Rami Khaldieh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477236800 PECOS PAC ID: 9133582372 Enrollment ID: I20240314000960 |
| Provider Name | Lizanette Paulino |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164904819 PECOS PAC ID: 4981934395 Enrollment ID: I20240314003712 |
| Provider Name | Jeff Chuh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851600555 PECOS PAC ID: 6800023698 Enrollment ID: I20240314004085 |
| Mailing Address | Practice Location Address |
|---|---|
| Myeyedr 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Myeyedr 44727 Brimfield Dr, Ashburn, VA 20147-5920 Ph: (571) 385-4600 |
Dr. Gordon Vincent Culp Jr., O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 44727 Brimfield Dr, Ashburn, VA 20147 Phone: 571-385-4600 Fax: 571-385-4605 | |
Doran Optometry, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 20070 Ashbrook Commons Plz, Ste 186, Ashburn, VA 20147 Phone: 703-729-8007 Fax: 703-729-9044 | |
Visual Health Doctors Of Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 19825 Belmont Chase Dr, #165, Ashburn, VA 20147 Phone: 571-291-3604 Fax: 571-918-4916 | |
Saleha Rana, OD Optometrist Medicare: Medicare Enrolled Practice Location: 42746 Mirror Pond Pl, Ashburn, VA 20148 Phone: 571-201-4826 | |
Ashburn Vision Source Optometrist Medicare: Medicare Enrolled Practice Location: 44075 Pipeline Plz, Suite 205, Ashburn, VA 20147 Phone: 703-724-9948 Fax: 703-724-9949 | |
Dr. Peyam Mojallal, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 20600 Gordon Park Sq, Suite 150, Ashburn, VA 20147 Phone: 703-723-3433 Fax: 703-723-1920 | |
Dr. Jacquelyn Tyra, OD Optometrist Medicare: Medicare Enrolled Practice Location: 43490 Yukon Dr Ste 200, Ashburn, VA 20147 Phone: 703-724-0330 |