NPI 1003879834

Gordon Vincent Culp, OD

Practitioner Optometrist Ashburn, VA

Practice location

Address: 44727 Brimfield Dr, Ashburn, VA 20147-5920
Phone: (571) 385-4600
Fax: (571) 385-4605
Mailing address: 1950 Old Gallows Rd Suite 520, Vienna, VA 22182-3990

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 0618000034 (VA)

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Registry record

NPI: 1003879834
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2006
Record last updated: 25 Jan 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.