Individual
DR. VINCENT A BERTOMEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1841 FOUNTAIN DR, RESTON, VA 20190-3326
(703) 264-2020
(703) 481-9474
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(703) 991-0514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001167
VA
152W00000X
Optometrist
OP1000240
DC
152W00000X
Optometrist
TA2088
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003074139
—
VA
Enumeration date
05/27/2008
Last updated
05/07/2024
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