NPI 1386834620

Eye Plastic Associates PC

Organisation Ophthalmology Physician Fairfax, VA

Practice location

Address: 3700 Joseph Siewick Dr Suite 400, Fairfax, VA 22033-1744
Phone: (703) 620-4300
Fax: (703) 620-4367

Authorised official

Name: Kim Lundmark
Title: Office Manager
Phone: (703) 620-4300

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 0101047 (VA)

Other Ophthalmology providers in Virginia →

Registry record

NPI: 1386834620
Entity type: Organization
NPI issued: 1 Aug 2007
Record last updated: 25 Feb 2010

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.