DR. RUSSELL HALE MATTERN (NPI# 1003134248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003134248 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL HALE MATTERN |
| Credential | OD |
| Practice Address |
2700 Potomac Mills Cir Suite 207 Woodbridge VA 22192-4625 |
| Practice Telephone | 7034905275 |
| Mailing Telephone | 7034905275 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0601000964 | VA | Eye and Vision Services Providers |
| Street Address |
2700 POTOMAC MILLS CIR SUITE 207 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861574600 | Kim-hein Nguyen | Optometrist | 2700 Potomac Mills Cir, 105, Woodbridge, VA 22192-4625 | 2006-10-20 |
| 1114478963 | Chris Belles | Pharmacist | 2700 Potomac Mills Cir, Woodbridge, VA 22192-4625 | 2016-10-17 |
| 1891073839 | Lorraine Dolores Riggers-lassman | Optometrist | 2700 Potomac Mills Cir, Suite 208b, Woodbridge, VA 22192-4625 | 2011-07-25 |
| 1528378056 | Van-anh T. Nguyen, O.d., P.c | Optometrist | 2700 Potomac Mills Cir, Suite 208-b, Woodbridge, VA 22192-4625 | 2010-10-18 |
| 1063534493 | Costco Wholesale | Pharmacy | 2700 Potomac Mills Cir, Ste 200, Woodbridge, VA 22192 | 2007-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| 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 |
|---|---|---|---|---|
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1841642048 | Rachel Marks | Optometrist | 161a Woodbridge Center Drive, Woodbridge, NJ 07095 | 2016-07-12 |
| 1477781763 | Mansoor Syed | Optometrist | 360 Us Highway 9 N, Woodbridge, NJ 07095-1004 | 2009-06-25 |
| 1982878922 | Daniel T. Whang, O.d., LLC | Optometrist | 1914 Opitz Blvd, Woodbridge, VA 22191-3304 | 2008-04-22 |
| 1598969628 | May & Hettler Od PC | Optometrist | 2253c Old Bridge Rd, Woodbridge, VA 22192-3025 | 2007-06-13 |
| 1568674497 | Contact Lens and Vision Consultants, P.a | Optometrist | 161 Woodbridge Center Dr, Ste A, Woodbridge, NJ 07095 | 2007-05-04 |
| 1356479133 | Paul Winograd | Optometrist | 428 Woodbridge Center Dr, Woodbridge Center, Woodbridge, NJ 07095 | 2007-03-01 |
| 1154469070 | Elisabeth Keunrok Kim | Optometrist | 4160 Merchant Plz, Woodbridge, VA 22192-5085 | 2007-02-02 |
| 1477600385 | Steven J. Schiff | Optometrist | 150 Woodbridge Ctr, Sears Optical Department, Woodbridge, NJ 07095-1302 | 2007-01-04 |
| 1447317581 | Van-anh T Nguyen | Optometrist | 2700 Potomac Mills Cir Ste 324b, Woodbridge, VA 22192-4654 | 2007-01-01 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
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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.