Individual provider · NPI-1

Roger Leslie Lenkin, OD

Optometrist · Chevy Chase, MD

NPI number1730136979
StatusActive
Last updated in NPPESAug 1, 2008

Details

NPI
1730136979
Entity type
Individual (NPI-1)
Name
Mr. Roger Leslie Lenkin
Credential
OD
Sex
Male
Sole proprietor
No
Enumeration date
May 30, 2006
Last updated
Aug 1, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist0618000581VAYes
152W00000X OptometristTA0609MD

Practice location

4465 Willard Ave
Chevy Chase, MD 20815-3605

Phone 301-951-3373

Mailing address

1950 Old Gallows Rd
Suite 100
Vienna, VA 22182-3990

Phone 703-847-8899

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