NPI 1588772024
Optimum Optical LLC
Practice location
- Address
- 3930 Pender Drive Suite #10, Fairfax, VA 22030-0985
- Phone
- (703) 273-2398
- Fax
- (703) 273-0239
Authorised official
- Name
- Christopher Randolph
- Title
- Owner
- Phone
- (703) 273-2398
Registered specialties
Optician
Primary
Registry record
- NPI
- 1588772024
- Entity type
- Organization
- NPI issued
- 25 Aug 2006
- Record last updated
- 26 Mar 2009
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.