| My Eye Dr. | |
|
14465 Potomac Mills Rd, Woodbridge, VA 22192-6807 | |
| (703) 494-6184 | |
| (703) 499-9744 |
| Full Name | My Eye Dr. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 14465 Potomac Mills Rd, Woodbridge, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336204585 | NPI | - | NPPES |
| 1292220001 | Other | DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0618000929 (Virginia) | Primary |
| 152W00000X | Optometrist | 0618001066 (Virginia) | Secondary |
| Provider Name | Gregory J Katchuk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023190030 PECOS PAC ID: 8325036866 Enrollment ID: I20040504000722 |
| Provider Name | Anthony B Kouchak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518044924 PECOS PAC ID: 3274521885 Enrollment ID: I20040714000011 |
| Provider Name | Aaron J Figler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235187329 PECOS PAC ID: 6901842194 Enrollment ID: I20050628000863 |
| Provider Name | Neda Farahmand |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629098439 PECOS PAC ID: 8628164365 Enrollment ID: I20071011000229 |
| Provider Name | Ewing R Mcclelland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568690774 PECOS PAC ID: 3375697733 Enrollment ID: I20090819000454 |
| Provider Name | Vincent A Bertomeu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003074139 PECOS PAC ID: 2961436209 Enrollment ID: I20100813000736 |
| Provider Name | Christeen Min |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275703068 PECOS PAC ID: 3173710837 Enrollment ID: I20101221000239 |
| Provider Name | Michael Zalar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154364842 PECOS PAC ID: 2668405051 Enrollment ID: I20110516000587 |
| Provider Name | Terri-ann Echague |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952557555 PECOS PAC ID: 2567520661 Enrollment ID: I20110615000513 |
| Provider Name | Justin-veni Echague |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104072941 PECOS PAC ID: 8224215454 Enrollment ID: I20110615000531 |
| Provider Name | Renu Mathew |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831112911 PECOS PAC ID: 3375626369 Enrollment ID: I20111216000149 |
| Provider Name | Thomas Blackburn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255687554 PECOS PAC ID: 4981854536 Enrollment ID: I20121017000573 |
| Provider Name | Hemali B. Jardosh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144537218 PECOS PAC ID: 6709066558 Enrollment ID: I20130222000539 |
| Provider Name | Ahmed Q. Al-sayyad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841638756 PECOS PAC ID: 7012142441 Enrollment ID: I20131021000493 |
| Provider Name | Lisa M Bennett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285678722 PECOS PAC ID: 2264669944 Enrollment ID: I20131231000213 |
| Provider Name | Gabriel Santos-delgado |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760724777 PECOS PAC ID: 4183848732 Enrollment ID: I20140620002179 |
| Provider Name | Sun Hee Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932516937 PECOS PAC ID: 3072735356 Enrollment ID: I20141121001077 |
| Provider Name | Jacqueline Elise Pokusa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104178094 PECOS PAC ID: 1951539048 Enrollment ID: I20141122000341 |
| 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 | Cynthia L Reynolds-temple |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932194891 PECOS PAC ID: 0547167710 Enrollment ID: I20150113000746 |
| 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 | Norlando Conanan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013133404 PECOS PAC ID: 0042511610 Enrollment ID: I20160523001269 |
| Provider Name | Keith James Versteegden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891170494 PECOS PAC ID: 7012209877 Enrollment ID: I20160714001708 |
| Provider Name | Sofia Naz Ahmad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336599604 PECOS PAC ID: 8628365780 Enrollment ID: I20160919000493 |
| 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 | 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 | Ahmad Zia Zahir |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912434176 PECOS PAC ID: 1850650375 Enrollment ID: I20180126001694 |
| Provider Name | Jennifer Candelaria Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255715082 PECOS PAC ID: 0042526055 Enrollment ID: I20180214002059 |
| 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 | Stacey Flynt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639661085 PECOS PAC ID: 0749530962 Enrollment ID: I20180910003027 |
| 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 Shah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972056703 PECOS PAC ID: 0941568521 Enrollment ID: I20181220000200 |
| Provider Name | Areen Amjad Hosein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568948487 PECOS PAC ID: 5395081244 Enrollment ID: I20190128001590 |
| Provider Name | Nicole Elizabeth Salomone |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184769002 PECOS PAC ID: 3678814340 Enrollment ID: I20190410000275 |
| Provider Name | Robin S Choi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881153278 PECOS PAC ID: 7719210988 Enrollment ID: I20190604001629 |
| 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 | 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 | Michael P Haedt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932180312 PECOS PAC ID: 0446421275 Enrollment ID: I20191219001548 |
| Provider Name | Randa Edelbi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710546452 PECOS PAC ID: 0648502724 Enrollment ID: I20200123002018 |
| Provider Name | Jocelie Almorado |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457863870 PECOS PAC ID: 7517227580 Enrollment ID: I20200226001619 |
| Provider Name | Corey Crouch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457912578 PECOS PAC ID: 1658607825 Enrollment ID: I20200522001133 |
| Provider Name | Celina Fraire |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952921785 PECOS PAC ID: 5395166268 Enrollment ID: I20200602000495 |
| Provider Name | Chinweuba Obi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548638810 PECOS PAC ID: 2062720543 Enrollment ID: I20200610001025 |
| Provider Name | Ariel J Taylor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598388001 PECOS PAC ID: 5890117303 Enrollment ID: I20200629002580 |
| Provider Name | Khushboo Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992325823 PECOS PAC ID: 6507284924 Enrollment ID: I20200921000519 |
| Provider Name | Amit Chohan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962016998 PECOS PAC ID: 2062827447 Enrollment ID: I20210217000582 |
| 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 | 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 | 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 | Jodi Naik |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831853563 PECOS PAC ID: 6002200482 Enrollment ID: I20220301000716 |
| Provider Name | Yasmine Fozooni |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558417709 PECOS PAC ID: 1456333004 Enrollment ID: I20220502001257 |
| 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 | 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 | 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 | 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 | Eliza Whatley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376299040 PECOS PAC ID: 9032594882 Enrollment ID: I20221020000575 |
| Provider Name | Ronald Meeker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194728188 PECOS PAC ID: 9032000286 Enrollment ID: I20221104001033 |
| Provider Name | Shayesteh Izaddoost |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396875910 PECOS PAC ID: 7012016645 Enrollment ID: I20221121003272 |
| 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 | Tania Malara |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003966839 PECOS PAC ID: 6507965589 Enrollment ID: I20230202002574 |
| Provider Name | Jennifer Gipp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154520666 PECOS PAC ID: 8729189899 Enrollment ID: I20230214003128 |
| Provider Name | Eric Goulston |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023114279 PECOS PAC ID: 7012171994 Enrollment ID: I20230221002656 |
| Provider Name | Krista Lynn Greene |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396277885 PECOS PAC ID: 0941674287 Enrollment ID: I20230329000729 |
| Provider Name | Mila Stoparic |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902320609 PECOS PAC ID: 0345606786 Enrollment ID: I20230510000755 |
| 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 | Darah Newell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467761544 PECOS PAC ID: 2567684038 Enrollment ID: I20230829002818 |
| 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 | Paul Hsiao |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124247101 PECOS PAC ID: 5496922742 Enrollment ID: I20240219003130 |
| Provider Name | Ying Narine |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659865483 PECOS PAC ID: 1951642602 Enrollment ID: I20240311002472 |
| Provider Name | Joseph Wagner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851841027 PECOS PAC ID: 7214279926 Enrollment ID: I20240403000878 |
| Provider Name | Julie Storer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881863546 PECOS PAC ID: 2163465931 Enrollment ID: I20240403002487 |
| Provider Name | Ashley Wagner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417360975 PECOS PAC ID: 7113211764 Enrollment ID: I20240408001395 |
| Provider Name | Minh-khanh Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609555879 PECOS PAC ID: 8022470335 Enrollment ID: I20240410001201 |
| Provider Name | Gurveen Kour |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750140554 PECOS PAC ID: 0143668061 Enrollment ID: I20240415001053 |
| Provider Name | Krupa Gajera |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760897276 PECOS PAC ID: 7719296607 Enrollment ID: I20240422001333 |
| Provider Name | Timothy Leach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396746491 PECOS PAC ID: 2163463589 Enrollment ID: I20240429002130 |
| Provider Name | Autumn Mantel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740297829 PECOS PAC ID: 8224058870 Enrollment ID: I20240507000864 |
| Provider Name | Cari Solomon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992711097 PECOS PAC ID: 9931106473 Enrollment ID: I20240507001617 |
| Mailing Address | Practice Location Address |
|---|---|
| My Eye Dr. 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | My Eye Dr. 14465 Potomac Mills Rd, Woodbridge, VA 22192-6807 Ph: (703) 494-6184 |
Dr. Russell Hale Mattern, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2700 Potomac Mills Cir, Suite 207, Woodbridge, VA 22192 Phone: 703-490-5275 | |
Dr. Herbert Norman Furst, OD Optometrist Medicare: Medicare Enrolled Practice Location: 14139 Potomac Mills Road, Woodbridge, VA 20192 Phone: 703-490-7606 Fax: 703-490-7824 | |
Dr. Nancy Jane Graves, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3102 Golansky Blvd, Ste 101, Woodbridge, VA 22192 Phone: 703-590-2888 Fax: 703-590-1121 | |
Walton Rice, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2700 Potomac Mills Cir Ste 105, Woodbridge, VA 22192 Phone: 703-494-0660 Fax: 703-497-4605 | |
Dr. Jerry J Deola, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4460 Dale Blvd, Woodbridge, VA 22193 Phone: 703-670-8085 | |
Dr. David L Mcnerney, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1714 Financial Loop, Woodbridge, VA 22192 Phone: 703-494-7721 Fax: 703-494-4617 | |
Aaron Figler, O.d., & Associates, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 14904 Jefferson Davis Hwy, Ste 308, Woodbridge, VA 22191 Phone: 703-494-3937 |