Provider Demographics
NPI:1558368373
Name:KUZMOWYCH, CHRYSTYNA P (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRYSTYNA
Middle Name:P
Last Name:KUZMOWYCH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:9510 WOODY LN
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-2024
Mailing Address - Country:US
Mailing Address - Phone:703-759-4865
Mailing Address - Fax:703-757-9510
Practice Address - Street 1:9510 WOODY LN
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:VA
Practice Address - Zip Code:22066-2024
Practice Address - Country:US
Practice Address - Phone:703-759-4865
Practice Address - Fax:703-757-9510
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA625152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management