NPI 1316037559

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

Organisation Eyewear Supplier Fairfax, VA

Practice location

Address: 11903l Lee Jackson Memorial Hwy Suite G133, Fairfax, VA 22033
Phone: (703) 218-8036
Fax: (703) 218-9841
Mailing address: PO Box 842375, Dallas, TX 75284-2375

Authorised official

Name: Dan Poth
Title: Owner
Phone: (703) 288-1978

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Virginia →

Registry record

NPI: 1316037559
Entity type: Organization
NPI issued: 16 Oct 2006
Record last updated: 4 Jan 2013

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.