NPI 1043067572

Monica Park

Practitioner Optometrist Reston, VA

Practice location

Address: 11656 Plaza America Dr, Reston, VA 20190-4700
Phone: (703) 467-9080

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 0618003425 (VA)

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Registry record

NPI: 1043067572
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 May 2024
Record last updated: 19 Sep 2024

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.