Northern Virginia Eye Surgery Center, Llc

NPI 1407079155 - Clinic/Center - 261QA1903X

NPI Details
NPI 1407079155
Enumeration Date 04/11/2007
Last Updated 10/15/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WILLIAM WILLIAM
Position MEDICAL DIRECTOR
Phone (703) 289-1290
Fax (703) 289-1298
Practice Location
2710 PROSPERITY AVE
SUITE 150
FAIRFAX VA, 22031-4320, US
Phone (703) 289-1290
Fax (703) 289-1298
Business Location
2710 PROSPERITY AVE
SUITE 150
FAIRFAX VA, 22031-4320, US
Phone (703) 289-1290
Fax (703) 289-1298
Toxanomy
Taxonomy Code 261QA1903X
License State Virginia
License Number OH712
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According to our database, Northern Virginia Eye Surgery Center, Llc NPI is 1407079155, taxonomy code is 261QA1903X and license number is OH712, license state is located at Virginia. Northern Virginia Eye Surgery Center, Llc physically located at 2710 Prosperity Ave, Fairfax VA, 22031-4320. NPI Number 1033115704 has the healthcare provider type.

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1407079155 NPI number is provided on an as is basis without warranty of any kind. 1407079155 is maintained by the National Plan & Provider Enumeration System. The contents of Northern Virginia Eye Surgery Center, Llc are for informational purposes only.