Soma Bose, OD - Optometrist in Fairfax, VA

Soma Bose, OD is a Optometrist based in Fairfax, Virginia. Soma Bose is licensed to practice in Virginia (license number 0601002345) and her current practice location is 11903-i Lee Jackson Memorial Hwy #g133, Fairfax, Virginia. She can be reached at her office (for appointments etc.) via phone at (703) 218-8036.

NPI number for Soma Bose is 1184700247 and her current mailing address is 11103 West Ave, Suite 6, San Antonio, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184700247.

Contact Information

Soma Bose, OD
11903-i Lee Jackson Memorial Hwy #g133,
Fairfax, VA 22033
(703) 218-8036
(703) 218-9841



Healthcare Provider's Profile

Full NameSoma Bose
GenderFemale
SpecialityOptometrist
Location11903-i Lee Jackson Memorial Hwy #g133, Fairfax, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1184700247
  • Provider Enumeration Date: 10/31/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Soma Bose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184700247NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 0601002345 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Soma Bose is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Soma Bose, OD
11103 West Ave, Suite 6,
San Antonio, TX 78213-1370

Ph: (210) 524-6509
Soma Bose, OD
11903-i Lee Jackson Memorial Hwy #g133,
Fairfax, VA 22033

Ph: (703) 218-8036

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› Verified 9 days ago


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Jonathan Kim, OD
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Practice Location: 11903-i Lee Jackson Memorial Hwy. #g133, Fairfax, VA 22033
Phone: 703-218-8036    Fax: 703-218-9841

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