NPI 1093459182

Daniel Poth, O.D. and Associates, P.C.

Organisation Eyewear Supplier Fairfax, VA

Practice location

Address: 9510 Main St, Fairfax, VA 22031-4031
Phone: (726) 444-4172
Mailing address: 175 E Houston St, San Antonio, TX 78205-2299

Authorised official

Name: Dolsie McDonald
Title: Network Management Manager
Phone: (726) 444-4178

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Virginia →

Registry record

NPI: 1093459182
Entity type: Organization
NPI issued: 25 Apr 2022
Record last updated: 25 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.