Bertomeu, Vincent A
Bertomeu, Vincent A is an individual health care provider with primary practice located at 1841 Fountain Dr , Reston VA 20190-3326. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bertomeu, Vincent A can be contacted via phone (703) 264-2020.Contact Information
Primary practice address
1841 Fountain Dr
Reston VA 20190-3326
Phone: (703) 264-2020
Fax: (703) 481-9474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OP1000240 | District of Columbia |
| Eye and Vision Services Providers / Optometrist | 152W00000X | TA2088 | Maryland |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618001167 | Virginia |
Profile Details
| NPI number | 1003074139 |
|---|---|
| LBN Legal business name | Bertomeu, Vincent A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2008 |
| Last updated | May 7th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003074139 | NPPES |
| Virginia | MEDICAID | 1003074139 |
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