Monument Family Eye Care, PLLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

MONUMENT FAMILY EYE CARE, PLLC

Practice address

13630 Hull Street Rd
Midlothian, VA 23112-2108

Phone

(703) 946-1382

NPI assigned

Feb 7, 2018

Organization subpart

No

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

Authorized official

Name

Joseph Sciullo, ODNPI 1619358702

Title

Optometrist/Owner

Phone

(703) 946-1382

Specialties & licenses 1

Addresses

Other names 1

• Monument Family Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Sciullo, O.D.

  • Optometrist
  • Midlothian, VA
  • NPI 1619358702
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517961600000",
    "number": "1255830923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13630 HULL STREET RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13630 HULL STREET RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122108",
            "telephone_number": "703-946-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT FAMILY EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A",
        "authorized_official_last_name": "SCIULLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "703-946-1382",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monument Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Montalbine, NP, RN
• Amanda P. Monte
• Niurka Lydia Monteserin, MD
• Julia Montgomery, DNP, FNP-BC, CCRN
• Marcia Montgomery
• James R Moon, PH.D.
• Lynn S. Moon, P.T.
• Sarah Mooney, LCSW
• Amy Hazzard Moore, MD
• Melinda Beth Moore, PH.D.

• Eyewear Supplier in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Eyewear Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.