Dawn D Gammon, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000679 Issued in VA

Legal business name

DAWN D GAMMON, INC

Doing business as

The Eyewear Gallery

Practice address

11900 Market St
Reston, VA 20190-5614

Phone

(703) 709-5400

Fax

(703) 709-7716

NPI assigned

Oct 20, 2016

Last updated

Oct 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dawn D Gammon, ODNPI 1659379345

Title

Owner

Phone

(703) 709-5400

Specialties & licenses 1

Addresses

Other names 1

• The Eyewear Gallery Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dawn Devaney Gammon, OD

  • Optometrist
  • Reston, VA
  • NPI 1659379345
  Authorized official Same address or phone

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1487105870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 MARKET ST",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905614",
            "telephone_number": "703-709-5400",
            "fax_number": "703-709-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 MARKET ST",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905614",
            "telephone_number": "703-709-5400",
            "fax_number": "703-709-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN D GAMMON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "GAMMON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-709-5400",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eyewear Gallery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Majid Dastgir, D.M.D.
• David K Chow, MD, PC
• Lynn M David, MD
• Maria Davidson
• Oksana V. Davis
• Melanie Roselyne Dayan, MA, LPC-R, SOTP
• DC Psychiatry LLC
• Jacques De Broekert
• Susan Linard De Bullet, NP
• Jasmine Dearborn, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.