Athamandia Perry
Optometrist in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1891369948
StatusActive
Last updated in NPPESJun 30, 2021
Details
- NPI
- 1891369948
- Entity type
- Individual (NPI-1)
- Name
- Athamandia Perry
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 13, 2021
- Certification date
- Jun 30, 2021
- Last updated
- Jun 30, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- 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 | 0618003049 | VA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1255 Fordham Dr Ste 114Virginia Beach, VA 23464-5347
Phone 757-523-0161 · Fax 757-523-0289
Mailing address
1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970
Phone 703-847-8899 · Fax 571-223-6780
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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