Provider Demographics
NPI:1356552681
Name:TUNC, DEMET D (OD)
Entity type:Individual
Prefix:DR
First Name:DEMET
Middle Name:D
Last Name:TUNC
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:D
Other - Middle Name:DENISE
Other - Last Name:TUNC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:12587 FAIR LAKES CIR # 270
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-3822
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:130 PARK ST SE STE 300
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4626
Practice Address - Country:US
Practice Address - Phone:202-262-5865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001123152W00000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist