| Galleria Optical | |
|
7700 Little River Tpke, Suite 101, Annandale, VA 22003-2406 | |
| (703) 658-7070 | |
| (703) 658-7071 |
| Full Name | Galleria Optical |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 7700 Little River Tpke, Annandale, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164676490 | NPI | - | NPPES |
| 0618000574 | Other | VA | STATE BOARD |
| TA1227 | Other | MD | STATE BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0618000574 (Virginia) | Primary |
| Provider Name | Sop Song |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801931381 PECOS PAC ID: 9032276829 Enrollment ID: I20090323000370 |
| Provider Name | Christina H Chon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063584993 PECOS PAC ID: 8921172867 Enrollment ID: I20090506000129 |
| Provider Name | Daniel K. Song |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821570722 PECOS PAC ID: 6103164694 Enrollment ID: I20190207001775 |
| Mailing Address | Practice Location Address |
|---|---|
| Galleria Optical 7700 Little River Tpke, Suite 101, Annandale, VA 22003-2406 Ph: (703) 658-7070 | Galleria Optical 7700 Little River Tpke, Suite 101, Annandale, VA 22003-2406 Ph: (703) 658-7070 |
James H. Walthall, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7002b Little River Tpk, Annandale, VA 22003 Phone: 703-256-2626 Fax: 703-354-3226 | |
J Jennifer Kwon, Od, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7031 Little River Tpke, 12b, Annandale, VA 22003 Phone: 703-354-1212 | |
Christina H Chon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7700 Little River Tpke Ste 101, Annandale, VA 22003 Phone: 703-658-7070 Fax: 703-658-7071 | |
Dr. Dennis Robert Cantwell, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7006 Little River Tpke Ste A, Annandale, VA 22003 Phone: 703-941-3937 Fax: 703-941-4003 | |
Dr. Michelle Elizabeth Thelen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7630 Little River Tpke Ste 100, Annandale, VA 22003 Phone: 703-941-4111 Fax: 703-941-3929 | |
Dr. Julie Thy Nguyen, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7630 Little River Tpke Ste 100, Annandale, VA 22003 Phone: 703-941-4111 Fax: 703-941-3929 |