Provider Demographics
NPI:1326620030
Name:STELMACH, OLIVIA MARIANNA (OD)
Entity Type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:MARIANNA
Last Name:STELMACH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:7 PLAISTOW RD STE I
Practice Address - Street 2:
Practice Address - City:PLAISTOW
Practice Address - State:NH
Practice Address - Zip Code:03865-2862
Practice Address - Country:US
Practice Address - Phone:603-382-1414
Practice Address - Fax:603-382-7171
Is Sole Proprietor?:No
Enumeration Date:2021-04-22
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH1035152W00000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist