Provider Demographics
NPI:1275943417
Name:CAN,INC
Entity Type:Organization
Organization Name:CAN,INC
Other - Org Name:EYE PRO EXPRESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NGHIA
Authorized Official - Middle Name:THI
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:703-335-2020
Mailing Address - Street 1:9378 FORESTWOOD LN STE A
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4742
Mailing Address - Country:US
Mailing Address - Phone:703-335-2020
Mailing Address - Fax:703-335-2021
Practice Address - Street 1:9378 FORESTWOOD LN STE A
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4742
Practice Address - Country:US
Practice Address - Phone:703-335-2020
Practice Address - Fax:703-335-2021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1101000894156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty