Individual provider Active NPI

Mandana Nasiri Manesh, OD

  • Optometrist
  • Ashburn, VA
National Provider Identifier
1861050650
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002744 Issued in VA
Practice address
43330 Junction PLZ Ste 120
Ashburn, VA 20147-3407
Phone
(703) 663-4290
Fax
(888) 920-2640
NPI assigned
Jun 5, 2019
Last updated
Apr 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002744 VA Primary

Addresses

Primary practice location

43330 Junction PLZ Ste 120
Ashburn, VA 20147-3407

Mailing address

43330 Junction PLZ Ste 120
Ashburn, VA 20147-3407
Phone (703) 663-4290

Other identifiers 1

IdentifierTypeStateIssuer
1861050650OtherSOUL NPI NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.youreyedrpc.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220601003187 VA Practitioner - Optometry 4587996012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

43330 Junction PLZ
Suite 120
Ashburn, VA 20147-3407
Phone (703) 663-4290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002744VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Oct 6, 2019 Accepting new patients
Youreyedoctor P.C. Optometrist CurrentSince Feb 17, 2022 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Rockville Optometry, LLC Optometrist CurrentSince Sep 23, 2019 Accepting new patients
Michael J. Bermel, O.D., P.C. Optometrist CurrentSince Feb 17, 2022 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Oct 6, 2019 Accepting new patients

Locations

4465 Willard Ave
Chevy Chase, MD 20815
Phone (301) 951-3373

80 Market St
Gaithersburg, MD 20878
Phone (301) 990-1122

19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200

20946 Frederick Rd
Unit A
Germantown, MD 20876
Phone (240) 361-9600

5331 Baltimore Ave
Ste 103
Hyattsville, MD 20781
Phone (240) 391-8989

18111 Town Center Dr
Olney, MD 20832
Phone (301) 570-1600

7721 Tuckerman Ln
Potomac, MD 20854
Phone (301) 983-5884

14929 Shady Grove Rd
Unit K
Rockville, MD 20850
Phone (301) 424-1050

1701 Rockville Pike
Ste A4
Rockville, MD 20852
Phone (301) 984-2111

10101 Colesville Rd
Silver Spring, MD 20901
Phone (301) 466-8439

8529 Georgia Ave
Silver Spring, MD 20910
Phone (301) 588-3232

43330 Junction Plz
Ste 120
Ashburn, VA 20147
Phone (703) 663-4290

45425 Dulles Crossing Plz
Sterling, VA 20166
Phone (540) 300-2771

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1861050650",
    "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": [],
    "basic": {
        "last_name": "NASIRI MANESH",
        "first_name": "MANDANA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUL NPI NUMBER",
            "identifier": "1861050650",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.youreyedrpc.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OFFICE",
            "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": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.