Dr. Prema Modak is a Fairfax, Virginia based female Ophthalmologist with 22 years of experience in Ophthalmology. She completed her graduation from Rutgers New Jersey Medical School in 2002. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Prema Modak is 0101240540 for Ophthalmology in Virginia. Dr. Prema Modak is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Dr. Prema Modak speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Credentials:
MD
Experience:
22+ years
Medical School Attended:
Rutgers New Jersey Medical School
Graduation Year:
2002
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
3998 Fair Ridge Dr Ste 105, Fairfax, Virginia, 22033-2980
Phone:
571-349-2191
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1052580735
Enrollment ID:
I20110815000539
NPI Number:
1689894578
NPI Enumeration Date:
26 Apr, 2007
NPI Last Update On:
30 Jul, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Prema Modak are as mentioned below.
License Number
Specialization
State
Status
0101240540
Ophthalmology
Virginia
Primary
D0070139
Ophthalmology
Maryland
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Prema Modak has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Eye Specialists And Surgeons Of Northern Virginia Llc (1658672886)
8
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3998 Fair Ridge Dr Ste 105, Fairfax, Virginia
Zip:
22033-2980
Phone Number:
571-349-2191
Fax Number:
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Patients can reach Dr. Prema Modak at 3998 Fair Ridge Dr Ste 105, Fairfax, Virginia or can call to book an appointment on 571-349-2191. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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