Provider Demographics
NPI:1710146410
Name:DUPLESSIS OPTICAL, LLC
Entity Type:Organization
Organization Name:DUPLESSIS OPTICAL, LLC
Other - Org Name:STERLING OPTICAL 359
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:NELSON
Authorized Official - Last Name:DUPLESSIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-359-2779
Mailing Address - Street 1:11702U FAIR OAKS MALL
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-3325
Mailing Address - Country:US
Mailing Address - Phone:703-359-2779
Mailing Address - Fax:703-359-2763
Practice Address - Street 1:11702U FAIR OAKS MALL
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-3325
Practice Address - Country:US
Practice Address - Phone:703-359-2779
Practice Address - Fax:703-359-2763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-06
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001275156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty