Provider Demographics
NPI:1477613867
Name:CROSS, MONICA LORRAINE (OD)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:LORRAINE
Last Name:CROSS
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:
Other - Last Name:CROSS SOLOMON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:
Practice Address - Street 1:5701 GREENBELT RD
Practice Address - Street 2:
Practice Address - City:BERWYN HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20740-2257
Practice Address - Country:US
Practice Address - Phone:301-345-2053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA1146152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist