Annmarie Desando, OD
Individual provider Active NPI Optometrist · Montrose, NY
NPI 1447812342 · NPPES record last updated Jul 1, 2019
Key facts
- NPI
- 1447812342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- TUV008998 (NY)
- Practice address
- 2094 Albany Post Rd # 620-123
Montrose, NY 10548-1454 - Phone
- (540) 735-7958
- NPI assigned
- Jul 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- New England College of Optometry, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Visual Health Doctors of Optometry
Practice addresses (Care Compare)
3012 Wilson Blvd
Arlington, VA 22201-3810
Phone (703) 566-1856
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201208000605 | VA | Practitioner - Optometry | 6204248768 | Reassigns benefits to 1 organization |
| I20201208002641 | DC | Practitioner - Optometry | 6204248768 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV008998 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visual Health Doctors of Optometry | Optometrist | Current |
Accepting new patients |
| Visual Health Reston LLC | Optometrist | Current |
Accepting new patients |
| Woodbridge Optometrists, Inc | Optometrist | Current |
Accepting new patients |
| Visual Health Doctors of Optometry | Optometrist | Past |
Accepting new patients |
Locations
2464 Mandeville Ln
Alexandria, VA 22314
Phone (571) 597-1135
3012 Wilson Blvd
Arlington, VA 22201
Phone (703) 566-1850
730 N Glebe Rd
Arlington, VA 22203
Phone (703) 576-0144
19825 Belmont Chase Dr
Ste 165
Ashburn, VA 20147
Phone (571) 291-3604
10690 Fairfax Blvd
Fairfax, VA 22030
Phone (703) 273-6323
701 W Broad St
Ste 100
Falls Church, VA 22046
Phone (703) 237-6500
494 Elden St
Ste 2
Herndon, VA 20170
Phone (571) 520-2130
1340 Old Chain Bridge Rd
Ste 102
McLean, VA 22101
Phone (703) 893-2020
2045 Fulton Pl
Reston, VA 20191
Phone (517) 231-4086
14901 Potomac Town Pl
Ste 120
Woodbridge, VA 22191
Phone (703) 278-3002
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV008998 | NY | Yes |
Addresses
Primary practice location
2094 Albany Post Rd # 620-123
Montrose, NY 10548-1454
Mailing address
613 Camden Dr
Fredericksburg, VA 22405-2032
Phone (540) 735-7958
Other providers in Montrose, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.