Provider Demographics
NPI:1689631996
Name:SLEVA, CAROLYN A (OD)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:A
Last Name:SLEVA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4840 TREASURE CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22032-2376
Mailing Address - Country:US
Mailing Address - Phone:703-425-9733
Mailing Address - Fax:
Practice Address - Street 1:4840 TREASURE CT
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22032-2376
Practice Address - Country:US
Practice Address - Phone:703-425-9733
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000186152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist