Dawn Devaney Gammon, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000679 Issued in VA

Practice address

11900 Market St
Reston, VA 20190-5614

Phone

(703) 709-5400

Fax

(703) 709-7716

NPI assigned

Jul 7, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dawn Devaney Former name

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Virginia Professional PLLCGroup PAC ID 1456898782, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aeg Virginia Professional PLLC

  • Optometrist
  • Fredericksburg, VA
  • NPI 1518746908

  DC

  Medicare reassignment Care Compare group NPD
• Dawn D Gammon, Inc

  dba The Eyewear Gallery

  • Optometrist
  • Reston, VA
  • NPI 1487105870
  Authorized official Same address or phone
• DRS. Unwalla & Runke, Optometrists P.C.

  • Optometrist
  • Great Falls, VA
  • NPI 1841442217
  NPD (past)
• Washington Eye Physicians & Surgeons, P.C.

  • Ophthalmology Physician
  • Chevy Chase, MD
  • NPI 1033117718
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1659379345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11641 PINE TREE DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332714",
            "telephone_number": "202-409-1385",
            "fax_number": "703-865-5438"
        },
        {
            "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": {
        "last_name": "GAMMON",
        "first_name": "DAWN",
        "middle_name": "DEVANEY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "DEVANEY",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shana Lynn Furnace, LCSW
• Fusion Dental
• Nicholas Gala, PH.D.
• Tanya Galofaro DPT, DPT
• Bernard James Gamiao
• Elizabeth Honore Gannon, DO
• Lynne Janette Ganz, OTR
• Andrea Lizeth Garavito Lopez
• Gabriel Adrian Garcia-Vasquez
• Charisse Garcia, RN

• 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.
• 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.

Verify at the official NPI Registry.