DR. ANTHONY BARDIA KOUCHAK (NPI# 1518044924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518044924 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY BARDIA KOUCHAK |
| Credential | OD |
| Practice Address |
5701 Columbia Pike Ste C1 Falls Church VA 22041-2900 |
| Mailing Address |
1950 Old Gallows Rd Ste 520 Vienna VA 22182-3970 |
| Practice Telephone | 7036711400 |
| Mailing Telephone | 7038478899 |
| Mailing Fax Number | 5712236780 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-05-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0618000564 | VA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 9236937 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4555 Duke St, Alexandria, VA 223042503 | 7033707111 | 7033704501 |
| Street Address |
5701 COLUMBIA PIKE STE C1 |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22041-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982172649 | Compassionate Virginia Home Care LLC | Home Health | 3425 Payne St, Suite#10, Falls Church, VA 22041 | 2018-11-10 |
| 1548752603 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3401 Charles St, Falls Church, VA 22041 | 2018-06-05 |
| 1740639947 | Sina Hedayatnia | Dentist | 5113 Leesburg Pike Ste 811, Falls Church, VA 22041 | 2016-06-08 |
| 1962896050 | Anderson Dental Associates | Dentist | 3701 S. George Mason Dr., Suite#c7n, Falls Church, VA 22041 | 2015-03-26 |
| 1841683059 | Mohammed Filali | Dentist | 5205 Leesburg Pike Suite 1406, Falls Church, VA 22041 | 2015-03-12 |
| 1376948257 | Advance Home Care. LLC | In Home Supportive Care | 5827 Columbia Pike #407, Falls Church, VA 22041 | 2014-11-04 |
| 1447674817 | Noreen Haseeb | Dentist | 3400 Payne St., Suite 101, Falls Church, VA 22041 | 2014-02-06 |
| 1174962518 | Claira E Williams | Counselor | 6016 Hardwick Place, Falls Church, VA 22041 | 2013-06-19 |
| 1306185756 | Paul Andrew Tibbits | Internal Medicine | 801 I Street Nw, Room 1225, Washington, DC 22041 | 2013-02-05 |
| 1518224559 | Qamar Raza | Nurse Practitioner | 3534 Carlin Springs Road, Falls Church, VA 22041 | 2012-04-16 |
| Find all providers in zip 22041 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851868871 | Thomas Holl | Optometrist | 7263 Arlington Blvd, Falls Church, VA 22042-3219 | 2018-10-29 |
| 1679027742 | Sadia Kalsoom | Optometrist | 6063 Munson Hill Rd, Falls Church, VA 22044-2638 | 2016-08-06 |
| 1710343744 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 5809 Leesburg Pike, Falls Church, VA 22041-2301 | 2016-01-06 |
| 1689015299 | Molly Benthal | Optometrist | 8190 Strawberry Ln, #410, Falls Church, VA 22042-1021 | 2013-07-11 |
| 1235400805 | Falls Church Optometry, LLC | Optometrist | 7511 Leesburg Pike, Suite 101b, Falls Church, VA 22043-2105 | 2012-01-13 |
| 1528378544 | Eden Eyecare LLC | Optometrist | 6795 Wilson Blvd Ste 24, Falls Church, VA 22044-3313 | 2010-10-08 |
| 1619294709 | True Vision, Inc. | Optometrist | 6643 Arlington Blvd, Falls Church, VA 22042-3002 | 2010-04-28 |
| 1750422861 | Alison Au Sinyai | Optometrist | 200 Little Falls St Ste 301, Falls Church, VA 22046-4302 | 2007-02-09 |
| 1790833234 | Phillip Kirk Steiner | Optometrist | 6201 Leesburg Pike Ste 7, Falls Church, VA 22044-2201 | 2007-01-08 |
| 1710069901 | Amir Ahmadi | Optometrist | 3556a S Jefferson St, Falls Church, VA 22041-3119 | 2006-10-19 |
| Find all providers in FALLS CHURCH | ||||
| City | FALLS CHURCH |
| Zip Code | 22041 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.