Provider Demographics
NPI:1417009267
Name:SILK VISION AND SURGICAL CENTER
Entity Type:Organization
Organization Name:SILK VISION AND SURGICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:WESAM
Authorized Official - Last Name:SILK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-876-9700
Mailing Address - Street 1:3301 WOODBURN RD
Mailing Address - Street 2:SUITE 308
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-1229
Mailing Address - Country:US
Mailing Address - Phone:703-876-9700
Mailing Address - Fax:703-876-9701
Practice Address - Street 1:3301 WOODBURN RD
Practice Address - Street 2:SUITE 308
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-1229
Practice Address - Country:US
Practice Address - Phone:703-876-9700
Practice Address - Fax:703-876-9701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01101236890207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1225124464OtherNPI
VAG02743Medicare PIN