NPI 1184744310

Springfield Mall Optical, INC.

Organisation Eyewear Supplier Springfield, VA

Practice location

Address: 6795 Springfield Mall, Springfield, VA 22150-1704
Phone: (703) 971-6026
Fax: (703) 971-8695
Mailing address: 1880 Howard Ave STE 301b, Vienna, VA 22182-2611

Authorised official

Name: Ana D Puhl
Title: Vice President
Phone: (703) 971-6026

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 736363 (VA)

Other Eyewear Supplier providers in Virginia →

Registry record

NPI: 1184744310
Entity type: Organization
NPI issued: 30 Mar 2007
Record last updated: 22 Aug 2020

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.