Cbkopt, LLC
Optometrist in Mc Lean, VA. Organization (NPI-2).
NPI number1639613755
StatusActive
Last updated in NPPESDec 8, 2016
Details
- NPI
- 1639613755
- Entity type
- Organization (NPI-2)
- Legal business name
- Cbkopt, LLC
- Organization subpart
- No
- Enumeration date
- Dec 8, 2016
- Last updated
- Dec 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 0618001234 | VA | Yes |
Practice location
8025 Tysons Corner CtrMc Lean, VA 22102-4525
Phone 703-447-2179
Mailing address
902 Centrillion DrMc Lean, VA 22102-1442
Phone 703-447-2179 · Fax 703-848-8359
Authorized official
Christine E Bae
Optometrist
7034472179
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