Individual provider Active NPI

Vincent A Bertomeu, O.D.

  • Optometrist
  • Reston, VA
National Provider Identifier
1003074139
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001167 Issued in VA
Practice address
1841 Fountain Dr
Reston, VA 20190-3326
Phone
(703) 264-2020
Fax
(703) 481-9474
NPI assigned
May 27, 2008
Last updated
May 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP1000240 DC
Optometrist 152W00000X TA2088 MD
Optometrist 152W00000X 0618001167 VA Primary

Addresses

Primary practice location

1841 Fountain Dr
Reston, VA 20190-3326

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other identifiers 1

IdentifierTypeStateIssuer
1003074139MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050926000517 DC Practitioner - Optometry 2961436209 Reassigns benefits to 3 organizations
I20091006000540 MD Practitioner - Optometry 2961436209 Reassigns benefits to 1 organization
I20100813000736 VA Practitioner - Optometry 2961436209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5809 Leesburg Pike
Falls Church, VA 22041-2301
Phone (866) 693-9336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP1000240DCMDOptometrist
TA2088MDMDOptometrist
0618001167VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of DC, LLC Optometrist CurrentSince Oct 6, 2017 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist CurrentSince Apr 26, 2015 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jan 24, 2020 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Oct 6, 2017 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Mar 27, 2018 Accepting new patients
Dulles Optometry, LLC Optometrist CurrentSince Nov 21, 2017 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of DC, LLC Optometrist CurrentSince Oct 6, 2017 Accepting new patients
Myeyedr Optometry of DC, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Apr 26, 2015 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Nov 12, 2014 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist PastSince Jul 9, 2025 Accepting new patients
Hyattsville Optometry, LLC Optometrist PastSince Nov 12, 2014 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients
Doctors on Sight, Optometrists, Inc. Optometrist Past Accepting new patients
Pikesville Optometry, LLC Optometrist PastSince Jan 2, 2013 Accepting new patients

Locations (25 of 54)

1330 Connecticut Ave NW
Washington, DC 20036
Phone (202) 785-5700

1744 L St NW
Washington, DC 20036
Phone (202) 463-6300

233 Pennsylvania Ave SE
Washington, DC 20003
Phone (202) 544-9220

3418 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 547-0956

650 Massachusetts Ave NW
Washington, DC 20001
Phone (202) 898-1060

650 Massachusetts Ave NW
Ste 140
Washington, DC 20001
Phone (202) 898-1060

6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206

5701 Greenbelt Rd
Berwyn Heights, MD 20740
Phone (301) 345-2053

5701 Greenbelt Rd
Ste 520
Berwyn Heights, MD 20740
Phone (301) 345-2053

4917 Elm St
Ste A
Bethesda, MD 20814
Phone (301) 718-2424

4412 Mitchellville Rd
Bowie, MD 20716
Phone (301) 309-0000

23105 Three Notch Rd
Ste A
California, MD 20619
Phone (301) 863-2020

4465 Willard Ave
Chevy Chase, MD 20815
Phone (301) 951-3373

10264 Southern Md Blvd
Ste 101
Dunkirk, MD 20754
Phone (410) 257-6931

3309 Forestville Pl
Forestville, MD 20747
Phone (301) 420-6610

19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200

46300 Lexington Village Way
Ste 105
Lexington Park, MD 20653
Phone (301) 862-2436

29015 Three Notch Rd
Unit 6
Mechanicsvlle, MD 20659
Phone (301) 884-4774

6178 Oxon Hill Rd
Ste 100
Oxon Hill, MD 20745
Phone (301) 245-3903

785 Solomons Island Rd N
Prince Frederick, MD 20678
Phone (410) 535-6333

130 W Dares Beach Rd
Prnc Frederck, MD 20678
Phone (410) 535-2020

559 Ritchie Hwy
Severna Park, MD 21146
Phone (410) 401-8309

13505 Connecticut Ave
Silver Spring, MD 20906
Phone (301) 438-0555

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

2955 Crain Hwy
Ste A
Waldorf, MD 20601
Phone (301) 645-3600

Networks

  • KY PPO
  • KY PPO C-SNP
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1003074139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "703-991-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 FOUNTAIN DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903326",
            "telephone_number": "703-264-2020",
            "fax_number": "703-481-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOMEU",
        "first_name": "VINCENT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP1000240",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2088",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003074139",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.