Provider Demographics
NPI:1942488549
Name:GARSON, WENDY CARIN (OD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:CARIN
Last Name:GARSON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:CARIN
Other - Last Name:FEINBERG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6849 OLD DOMINION DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101
Mailing Address - Country:US
Mailing Address - Phone:703-442-0522
Mailing Address - Fax:703-442-0522
Practice Address - Street 1:6849 OLD DOMINION DR
Practice Address - Street 2:#300
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101
Practice Address - Country:US
Practice Address - Phone:703-442-0522
Practice Address - Fax:703-442-0522
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist