Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACQUELYN TYRA, OD
Active Sole ProprietorDR. JACQUELYN TYRA, OD is a Optometrist healthcare provider located in ASHBURN, Virginia. NPI 1154896363 is currently active in the NPPES registry. Verify at CMS.
Optometrist · ASHBURN, VA
Registration Details
- NPI Number
- 1154896363
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 4, 2018 (7.900204741611 yrs)
- Last Updated
- May 23, 2023
- License
-
0618002779 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
43490 YUKON DR STE 200ASHBURN, VA, 201477315Browse VA providers · Browse ZIP 20147
- Phone
- 7037240330
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in ASHBURN, VA
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT M ALLEN | O.D. | 1467424275 |
| DR. GORDON VINCENT CULP JR. | O.D. | 1003879834 |
| DR. STEPHEN W HINKLE | O.D. | 1336160886 |
| DR. ROY EDWARD PARK | OD | 1861596447 |
| DR. SHANNON SUMI SUH | O.D. | 1407945819 |
| DR. RICHARD KUANG-HUA KAO | O.D. | 1205985637 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.