Provider Demographics
NPI:1972290914
Name:ROMANELLI, ELENI MARIA (OD)
Entity type:Individual
Prefix:
First Name:ELENI
Middle Name:MARIA
Last Name:ROMANELLI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ELENI
Other - Middle Name:MARIA
Other - Last Name:VAKIRZIS
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 1:20 MILLTOWN RD STE 201
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-4353
Practice Address - Country:US
Practice Address - Phone:845-279-6179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-19
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009778152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist