Provider Demographics
NPI:1982835021
Name:SUTARIA EYE CARE, PLLC
Entity Type:Organization
Organization Name:SUTARIA EYE CARE, PLLC
Other - Org Name:INSIGHT EYE OPTIQUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MEERA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTARIA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:703-203-9656
Mailing Address - Street 1:3600 S GLEBE RD
Mailing Address - Street 2:227
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-2365
Mailing Address - Country:US
Mailing Address - Phone:703-203-9656
Mailing Address - Fax:703-203-9656
Practice Address - Street 1:42395 RYAN RD
Practice Address - Street 2:SUITE 120
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20148-4863
Practice Address - Country:US
Practice Address - Phone:703-203-9656
Practice Address - Fax:703-203-9656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001658152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty