Provider Demographics
NPI:1700014610
Name:ASSOCIATES IN EYECARE STONE RIDGE PC
Entity Type:Organization
Organization Name:ASSOCIATES IN EYECARE STONE RIDGE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:D
Authorized Official - Last Name:LIONE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:703-542-8888
Mailing Address - Street 1:42015 VILLAGE CENTER PLZ
Mailing Address - Street 2:SUITE 103
Mailing Address - City:STONE RIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:20105-3033
Mailing Address - Country:US
Mailing Address - Phone:703-542-8888
Mailing Address - Fax:703-542-8856
Practice Address - Street 1:42015 VILLAGE CENTER PLZ
Practice Address - Street 2:SUITE 103
Practice Address - City:STONE RIDGE
Practice Address - State:VA
Practice Address - Zip Code:20105-3033
Practice Address - Country:US
Practice Address - Phone:703-542-8888
Practice Address - Fax:703-542-8856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-30
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty