Provider Demographics
NPI:1669914412
Name:VISUAL HEALTH DOCTORS OF OPTOMETRY
Entity type:Organization
Organization Name:VISUAL HEALTH DOCTORS OF OPTOMETRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SEEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSAF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-273-6323
Mailing Address - Street 1:1927C OLD GALLOWS RD
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3924
Mailing Address - Country:US
Mailing Address - Phone:703-748-2015
Mailing Address - Fax:703-748-2891
Practice Address - Street 1:1927C OLD GALLOWS RD
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-3924
Practice Address - Country:US
Practice Address - Phone:703-748-2015
Practice Address - Fax:703-748-2891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-10
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty