Provider Demographics
NPI:1821050220
Name:TSENG, ALICE (OD)
Entity Type:Individual
Prefix:DR
First Name:ALICE
Middle Name:
Last Name:TSENG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ALICE
Other - Middle Name:TSENG
Other - Last Name:HO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:5809 LEESBURG PIKE
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-2301
Practice Address - Country:US
Practice Address - Phone:571-290-6080
Practice Address - Fax:571-291-6081
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000740152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00B545A08Medicare PIN
VAU79333Medicare UPIN