Dr. Vincent A Bertomeu
Optometrist
1841 Fountain Dr
Reston
, Virginia 20190-3326
Dr. Vincent A Bertomeu
Optometrist
1841 Fountain Dr
Reston
, Virginia 20190-3326
(703) 991-0514
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Vincent A Bertomeu
- 1950 Old Gallows Rd Suite 520
- Vienna, VA
- Zip : 22182-3990
- Fax : (703) 991-0514
- Phone : (703) 847-8899
Second Address
- Dr. Vincent A Bertomeu
- 1841 Fountain Dr
- Reston, VA
- Zip : 20190-3326
- Fax : (703) 481-9474
- Phone : (703) 264-2020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0618001167 | VA |
| N | 152W00000X | Optometrist | OP1000240 | DC |
| N | 152W00000X | Optometrist | TA2088 | MD |
National Provider Identifier
| NPI | 1003074139 |
|---|---|
| Provider Name | Dr. Vincent A Bertomeu |
| First Address | Vienna, VA 22182-3990 |
| Second Address | Reston, VA 20190-3326 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/05/2008 |
| Last Update Date | 23/01/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003074139 | (05) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.