NPI 1073689253

James W Slack, MD

Practitioner Ophthalmology Physician Fairfax, VA

Practice location

Address: 12255 Fair Lakes Parkway, Fairfax, VA 22033-3952
Phone: (703) 934-5820
Fax: (703) 934-5290
Mailing address: 2101 East Jefferson Street Ppqa Medicare Compliance Unit 6 West Attn Theresa Brook, Rockville, MD 20852-4908

Registered specialties (3)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 0101229044 (VA)

Other Ophthalmology providers in Virginia →

Ophthalmology Physician

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence MD15560 (DC)

Ophthalmology Physician

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence D0054382 (MD)

Registry record

NPI: 1073689253
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Nov 2006
Record last updated: 22 Jun 2021

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.