| The Eyewear Gallery | |
|
11900 Market St, Reston, VA 20190-5614 | |
| (703) 709-5400 | |
| (703) 709-7716 |
| Full Name | The Eyewear Gallery |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 11900 Market St, Reston, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487105870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0618000679 (Virginia) | Primary |
| Provider Name | Dawn D Gammon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659379345 PECOS PAC ID: 8123308418 Enrollment ID: I20170323002030 |
| Mailing Address | Practice Location Address |
|---|---|
| The Eyewear Gallery 11900 Market St, Reston, VA 20190-5614 Ph: (703) 709-5400 | The Eyewear Gallery 11900 Market St, Reston, VA 20190-5614 Ph: (703) 709-5400 |
Dr. Vincent A Bertomeu, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1841 Fountain Dr, Reston, VA 20190 Phone: 703-264-2020 Fax: 703-481-9474 | |
Rayanne Elise Passarelli, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11656 Plaza America Dr, Reston, VA 20190 Phone: 703-467-9080 | |
Monica Park, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11656 Plaza America Dr, Reston, VA 20190 Phone: 703-467-9080 | |
Keith Smithson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11656 Plaza America Dr, Reston, VA 20190 Phone: 703-467-9080 Fax: 703-467-9082 | |
Julie Park Kao, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1890 Metro Center Dr, Reston, VA 20190 Phone: 703-359-7878 | |
Dr. Helene D Clayton-jeter, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11445 Sunset Hills Road, Reston, VA 20190 Phone: 703-709-1748 Fax: 703-709-1711 | |
Stacey E. Simms, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 12110 Sunset Hills Rd, Suite C-50, Reston, VA 20190 Phone: 703-834-9777 Fax: 703-834-8187 |