Active NPI
Vincent A Bertomeu, O.D.
- Optometrist
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618001167
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003074139 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| OP1000240 | DC | MD | Optometrist |
| TA2088 | MD | MD | Optometrist |
| 0618001167 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of DC, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | 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 | Current | Accepting new patients |
| Dulles Optometry, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of DC, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of DC, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Past | Accepting new patients |
| Hyattsville Optometry, LLC | Optometrist | Past | 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 | Past | 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.
-
- Optometrist
- North Chesterfield, VA
- NPI 1932075983
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.