Youreyedoctor P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

YOUREYEDOCTOR P.C.

Practice address

43330 Junction PLZ Ste 120
Ashburn, VA 20147-3407

Phone

(703) 663-4290

Fax

(888) 920-2640

NPI assigned

Mar 3, 2022

Organization subpart

No

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

Authorized official

Name

Mandana Nasiri Manesh, ODNPI 1861050650

Title

Docotor of Optometry OD, Owner

Phone

(703) 663-4290

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

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.

• Mandana Nasiri Manesh, OD

  • Optometrist
  • Ashburn, VA
  • NPI 1861050650
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1306593934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43330 JUNCTION PLZ STE 120",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473407",
            "telephone_number": "703-663-4290",
            "fax_number": "888-920-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43330 JUNCTION PLZ STE 120",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473407",
            "telephone_number": "703-663-4290",
            "fax_number": "888-920-2640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45425 Dulles Crossing Plz",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201668921",
            "country_code": "US",
            "telephone_number": "240-246-6355",
            "fax_number": "888-920-2640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOUREYEDOCTOR P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "NASIRI MANESH",
        "authorized_official_first_name": "MANDANA",
        "authorized_official_title_or_position": "DOCOTOR OF OPTOMETRY OD, OWNER",
        "authorized_official_telephone_number": "703-663-4290",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017436940001",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "youreyedrmanesh@gmail.com",
            "affiliation": "N",
            "address_1": "45425 Dulles Crossing Plz",
            "city": "Sterling",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201668921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://youreyedoctorpc.eyefinityehr.com/",
            "affiliation": "N",
            "address_1": "43330 Junction Plz Ste 120",
            "city": "Ashburn",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201473407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Optometrist in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.