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NPI Code Detail

MEDICARE: 200 WEST OPTICS, LLC

MEDICARE: 200 WEST OPTICS, LLC
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1497637649
Entity Type Code : Organization
Provider Name (Legal Business Name) : 200 WEST OPTICS, LLC
Provider Business Mailing Address
First Line : 8614 WESTWOOD CENTER DR FL 9
Second Line :
City : VIENNA
State : VA
Zip : 22182-2442
Country : US
Telephone Number : 703-847-8899
Fax Number : 571-223-6780
Provider Business Practice Location Address
First Line : 6805 ROUTE 9 STE 27
Second Line :
City : RHINEBECK
State : NY
Zip : 12572-1160
Country : US
Telephone Number : 845-876-2222
Fax Number : 845-876-2048
Authorized Official
Title or Position : SECRETARY
Name : SUE DOWNES
Credential :
Telephone Number : 703-847-8899
Provider Enumeration Date : 07/21/2025
Last Update Date : 07/21/2025

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Directions to “200 WEST OPTICS, LLC ” Practice Location

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