Whalio Doctors

NPI 1588772024

Optimum Optical LLC

Organisation Optician Fairfax, VA

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
Eye and Vision Services Providers Taxonomy 156FX1800X Licence 1101-001390 (VA)

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.