Larry N London Od
Technician/Technologist, Optometric Technician in Arlington, VA. Organization (NPI-2).
NPI number1639578529
StatusActive
Last updated in NPPESAug 18, 2014
Details
- NPI
- 1639578529
- Entity type
- Organization (NPI-2)
- Legal business name
- Larry N London Od
- Organization subpart
- No
- Enumeration date
- Aug 18, 2014
- Last updated
- Aug 18, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1202X | Technician/Technologist, Optometric Technician | – | – | Yes |
Other names
- Virginia Vision Associates (Doing Business As)
Practice location
3800 Fairfax DrSuite 1
Arlington, VA 22203-1711
Phone 703-522-3454 · Fax 703-522-9636
Mailing address
3800 Fairfax DrSuite 1
Arlington, VA 22203-1711
Phone 703-522-3454 · Fax 703-522-9636
Authorized official
Ana M Boisseau
Billing Specialist
7035223454
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