Diana Mamoud, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP2000573 Issued in DC

Practice address

1060 Brentwood Rd NE Ste B8
Washington, DC 20018-1052

Phone

(202) 269-4746

NPI assigned

May 15, 2024

Last updated

Nov 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Pennsylvania College of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virginia Eyecare Center PCGroup PAC ID 0648332155, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Virginia Eyecare Center, P.C.

  • Optometrist
  • Burke, VA
  • NPI 1700987237

  DC

  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Virginia PLLC

  dba MyEyeDr

  • Optometrist
  • Ashburn, VA
  • NPI 1174933691
  Medicare reassignment NPD
• Myeyedr Optometry of Virginia, PLLC

  dba MyEyeDr.

  • Optometrist
  • Falls Church, VA
  • NPI 1710343744

  DC

  Medicare reassignment NPD
• Myeyedr Optometry of Virginia, PLLC

  dba MyEyeDr.

  • Optometrist
  • McLean, VA
  • NPI 1710643515
  NPD
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • North Chesterfield, VA
  • NPI 1932075983
  NPD
• Myeyedr Optometry of Virginia, PLLC

  dba MyEyeDr.

  • Optometrist
  • Bristow, VA
  • NPI 1932865730
  NPD
• Hero Vision of DC PLLC

  dba Adventure Dental and Vision

  • Optometrist
  • Washington, DC
  • NPI 1669010989
  NPD (past)

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1811746423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 BRENTWOOD RD NE STE B8",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200181052",
            "telephone_number": "202-269-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 BRENTWOOD RD NE STE B8",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200181052",
            "telephone_number": "202-269-4746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10338 Bristow Center Dr",
            "address_purpose": "LOCATION",
            "city": "Bristow",
            "state": "VA",
            "postal_code": "201362201",
            "country_code": "US",
            "telephone_number": "703-392-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAMOUD",
        "first_name": "DIANA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003443",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP2000573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tsion Mamo
• Yemeserach W Mamo
• Dora M Mamodesene, MD
• Mamonluk Chua Medical Group, PC
• Maribel Yap Mamonluk-Chua, MD
• Betty Mampuya
• Felicite Che Mamu Epse Nji Fru
• Dong Doe Man
• Nancy L Manahan, MD
• Mulu Manahilo

• Optometrist in Washington, DC
• Providers in Washington, DC by specialty
• Optometrist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.