MEDICARE: DRISTI BHANDARI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	0618003526	VA

General Provider Information

NPI Number	:	1326935602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DRISTI BHANDARI

Provider Business Mailing Address
First Line	:	1871 CARL D SILVER PKWY STE 1113
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22401-4969
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1871 CARL D SILVER PKWY STE 1113
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22401-4969
Country	:	US
Telephone Number	:	540-786-8081
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2025
Last Update Date	:	06/19/2025

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Directions to “ DRISTI BHANDARI ” Practice Location

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