De La Rosa Eyecare, LLC
Optometrist in Alexandria, VA. Organization (NPI-2).
NPI number1346854874
StatusActive
Last updated in NPPESSep 2, 2020
Details
- NPI
- 1346854874
- Entity type
- Organization (NPI-2)
- Legal business name
- De La Rosa Eyecare, LLC
- Organization subpart
- No
- Enumeration date
- Sep 2, 2020
- Certification date
- Sep 1, 2020
- Last updated
- Sep 2, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
107 S West St Ste 751Alexandria, VA 22314-2824
Phone 305-306-2212
Mailing address
107 S West St Ste 751Alexandria, VA 22314-2824
Authorized official
Shirley De La Rosa
Manager
5713050400
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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