Xavier Alfonso Moncayo, COMT

Primary specialty

Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X

License

144731 Issued in MD

Practice address

8328 Shoppers SQ
Manassas, VA 20111-2174

Phone

(703) 420-8121

NPI assigned

Nov 2, 2023

Last updated

Nov 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Ole Optical Laboratory Express LLC

  • Eyewear Supplier
  • Manassas, VA
  • NPI 1275306011
  NPD Authorized official

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1902679715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3577 SHADY PINES ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217046907",
            "telephone_number": "202-603-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8328 SHOPPERS SQ",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201112174",
            "telephone_number": "703-420-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCAYO",
        "first_name": "XAVIER",
        "middle_name": "ALFONSO",
        "credential": "COMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "MD",
            "license": "144731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Mohr, L.P.C.
• Mehr Un Nisa Mohsin
• Amjad Molaeb
• Ruben Jose Molina, MA
• Momentum Chiropractic and Rehab, LLC
• Cesar Montalvan, DDS
• Angela Montgomery, APRN
• Monumental Supportive Living, LLC
• Desirea Moore-Mitchell
• Carole Goins Moore, RPH

• Ophthalmic Technician/Technologist in Manassas, VA
• Providers in Manassas, VA by specialty
• Ophthalmic Technician/Technologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.