Provider Demographics
NPI:1306228093
Name:DCI INC
Entity Type:Organization
Organization Name:DCI INC
Other - Org Name:DC EYE CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:CHUN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-681-8505
Mailing Address - Street 1:6900 LUPINE LN
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-1578
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8381 OLD COURTHOUSE RD
Practice Address - Street 2:STE 345
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-3818
Practice Address - Country:US
Practice Address - Phone:703-853-1966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-18
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA52051207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty