Provider Demographics
NPI:1598073298
Name:FSZ OPTOMETRY LLC
Entity Type:Organization
Organization Name:FSZ OPTOMETRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:W
Authorized Official - Last Name:HINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:703-250-1533
Mailing Address - Street 1:2972 CHAIN BRIDGE RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-3000
Mailing Address - Country:US
Mailing Address - Phone:703-255-1533
Mailing Address - Fax:703-255-3377
Practice Address - Street 1:2972 CHAIN BRIDGE RD
Practice Address - Street 2:SUITE C
Practice Address - City:OAKTON
Practice Address - State:VA
Practice Address - Zip Code:22124-3000
Practice Address - Country:US
Practice Address - Phone:703-255-1533
Practice Address - Fax:703-255-3377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001162152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty