Whalio Doctors

NPI 1033446919

Edwin Siegel, OD

Practitioner Optometrist Washington, DC

Practice location

Address
Pentagon Concourse Room 2c113 Pentagon Vision Center, Washington, DC 20301
Phone
(703) 920-2020
Fax
(703) 920-3852
Mailing address
6407 Recreation Lane, Falls Church, VA 22041

Registered specialties (2)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 0618000674 (VA)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence OP406 (DC)

Registry record

NPI
1033446919
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Nov 2009
Record last updated
12 Nov 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.