| NPI Details | |
|---|---|
| NPI | 1124305388 |
| Enumeration Date | 11/15/2011 |
| Last Updated | 11/15/2011 |
| Entity Type | Healthcare Provider |
| Active | Over 5 years ago |
| Authorized Information | |
|---|---|
| Name | KRIS KRIS |
| Position | CREDENTIALING |
| Phone | (703) 847-8899 |
| Fax | (703) 991-0514 |
| Practice Location | |
|---|---|
| 1950 OLD GALLOWS RD SUITE 520 VIENNA VA, 22182-3990, US |
|
| Phone | (703) 847-8899 |
| Fax | (703) 991-0514 |
| Business Location | |
|---|---|
| 6455 DOBBIN RD #47 COLUMBIA MD, 21045-5828, US |
|
| Phone | (443) 542-5999 |
| Fax | (443) 542-5175 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 152W00000X |
| License State | |
| License Number | |
| Remove 1124305388 NPI Number | |
According to our database, Columbia Optometry, Llc NPI is 1124305388, taxonomy code is 152W00000X Columbia Optometry, Llc physically located at 1950 Old Gallows Rd, Vienna VA, 22182-3990. NPI Number 1033115704 has the healthcare provider type.
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1124305388 NPI number is provided on an as is basis without warranty of any kind. 1124305388 is maintained by the National Plan & Provider Enumeration System. The contents of Columbia Optometry, Llc are for informational purposes only.
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