Provider Demographics
NPI:1013268135
Name:DR. WENDY C GARSON, P.C.
Entity Type:Organization
Organization Name:DR. WENDY C GARSON, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:C
Authorized Official - Last Name:GARSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:703-442-0522
Mailing Address - Street 1:6849 OLD DOMINION DR.
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101
Mailing Address - Country:US
Mailing Address - Phone:703-442-0522
Mailing Address - Fax:703-442-0525
Practice Address - Street 1:6849 OLD DOMINION DR.
Practice Address - Street 2:SUITE 300
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22101
Practice Address - Country:US
Practice Address - Phone:703-442-0522
Practice Address - Fax:703-442-0525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA061800095152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty