Youreyedoctor P.c. | |
43330 Junction Plz Ste 120, Ashburn, VA 20147-3407 | |
(703) 663-4290 | |
(888) 920-2640 |
Full Name | Youreyedoctor P.c. |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 43330 Junction Plz Ste 120, 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 |
---|---|---|---|
1306593934 | NPI | - | NPPES |
30017436940001 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Mandana Nasiri Manesh |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1861050650 PECOS PAC ID: 4587996012 Enrollment ID: I20220601003187 |
Mailing Address | Practice Location Address |
---|---|
Youreyedoctor P.c. 43330 Junction Plz Ste 120, Ashburn, VA 20147-3407 Ph: (703) 663-4290 | Youreyedoctor P.c. 43330 Junction Plz Ste 120, Ashburn, VA 20147-3407 Ph: (703) 663-4290 |
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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 | |
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