Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Soma Bose, OD

Individual provider Optometrist · NPI 1184700247

Soma Bose, OD is an Optometry in Fairfax, Virginia. Graduated from New England College of Optometry in 1998, 28 years ago. Licensed in Virginia.

Years since qualifying
28
Trained at
New England College of Optometry
Licensed in
VA
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11903-I Lee Jackson Memorial Hwy #G133
Fairfax, VA 22033
Phone: (703) 218-8036
Fax: (703) 218-9841
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0601002345 (VA)

Record details

NPI number1184700247
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 31, 2006
Last updated in NPPESJuly 8, 2007
Mailing address11103 West Ave, Suite 6, San Antonio, TX 78213-1370

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolNEW ENGLAND COLLEGE OF OPTOMETRY
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Fairfax