IndividualActive
Charles Gamboa, OD
NPI 1548675515 · Optometrist · Washington, DC
Provider details
- NPI number
- 1548675515
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 0618002328 (VA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1776 Eye St Nw
Washington, DC 20006-3700
Phone: (202) 331-3931
Fax: (202) 331-3932
Approximate (ZIP-level) locationGet directions
Mailing address
1950 Old Gallows Rd
Vienna, VA 22182-3990
Additional practice locations (1)
- 14465 Potomac Mills RdWoodbridge, VA 22192-6807Phone: (703) 494-6184Fax: (703) 499-9744
Registry dates
- Enumerated
- 2014-06-27
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.