Sabita Ittoop
GLAUCOMA CONSULTANTS OF WASHINGTON INC


Address: 171 Elden St, Suite 100, Herndon, VA 20170-4834
Phone: 7036892020

Sabita Ittoop (NPI# 1194965830, PAC ID# 6406002112) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.

Physician Overview

Nation Provider ID (NPI) 1194965830
PAC ID by PECOS 6406002112
Professional Enrollment ID I20130828000285
Full Name Sabita Ittoop
Organization Legal Name GLAUCOMA CONSULTANTS OF WASHINGTON INC
Address 171 Elden St
Suite 100
Herndon
VA 20170-4834
Phone Number 7036892020
Gender F
Medical School UMDNJ-NEW JERSEY MEDICAL SCHOOL
Graduation Year 2008
Primary Specialty OPHTHALMOLOGY
Group Practice PAC ID 1153497821
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490101 INOVA FAIR OAKS HOSPITAL

Other Locations

Address Phone Organization
171 Elden St, Suite 100, Herndon, VA 20170-4834 7036892020 GLAUCOMA CONSULTANTS OF WASHINGTON INC
212 Linden Dr, Suite 154, Winchester, VA 22601-2893 7036892020 GLAUCOMA CONSULTANTS OF WASHINGTON INC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name GLAUCOMA CONSULTANTS OF WASHINGTON INC
Physicians 1

Office Location

Street Address 171 ELDEN ST
SUITE 100
City HERNDON
State VA
Zip 20170-4834

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Competitor

Search similar physicians

City HERNDON
Zip Code 20170
Specialty OPHTHALMOLOGY
City + Specialty HERNDON + OPHTHALMOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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