MEDICARE: MONIQUE CYPRESS OD

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	TA1531	MD

General Provider Information

NPI Number	:	1285757443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONIQUE CYPRESS OD

Provider Business Mailing Address
First Line	:	1950 OLD GALLOWS RD
Second Line	:	STE. 100
City	:	VIENNA
State	:	VA
Zip	:	22182-3990
Country	:	US
Telephone Number	:	703-847-8899
Fax Number	:	703-847-5177

Provider Business Practice Location Address
First Line	:	8650 GEORGIA AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3404
Country	:	US
Telephone Number	:	301-589-7474
Fax Number	:	301-589-7159

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

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	05/28/2025

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