Whalio Doctors

NPI 1710069950

Northern Virginia Vision Center, INC.

Organisation Optometrist Sterling, VA

Practice location

Address
21475 Ridgetop Circle Suite 300, Sterling, VA 20166-6580
Phone
(703) 430-4400
Fax
(703) 430-4130
Mailing address
21475 Ridgetop Cir Suite 300, Sterling, VA 20166-6580

Authorised official

Name
Ayman Boutros
Title
President/Owner
Phone
(703) 430-4400

Registered specialties (2)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 0618-000230 (VA)
Ophthalmology Physician
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 0101-043806 (VA)

Registry record

NPI
1710069950
Entity type
Organization
NPI issued
19 Oct 2006
Record last updated
21 Jun 2018

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.