Jeetandra M. Athelli, O.D.

Optometrist · Chantilly, VA

Individual Active NPI

NPI number 1902808181

Practice location

14161a Robert Paris Ct
Chantilly, VA 20151-4204
Phone
(703) 631-0014
Fax
(703) 449-8770

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NPI record

NPI
1902808181
Entity type
Individual (Type 1)
Enumeration date
June 1, 2005
Last updated
July 8, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 0618000308 VA

Mailing address

400 Holiday Ct 207
Warrenton, VA 20186-4349
Phone
(540) 347-2217
Fax
(540) 347-0801

About Dr. Athelli

Jeetandra M. Athelli, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 14161a Robert Paris Ct, Chantilly, VA 20151-4204. The NPI number 1902808181 was assigned on June 1, 2005 and the record was last updated on July 8, 2015.

Dr. Athelli lists a license in the registry: #0618000308 (VA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jeetandra M. Athelli, O.D.?

The NPI number is 1902808181.

What is the phone number of Dr. Athelli?

The phone number listed for the practice location is (703) 631-0014.

Where is Dr. Athelli located?

14161a Robert Paris Ct, Chantilly, VA 20151-4204.

What is the taxonomy code for Dr. Athelli?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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