NPI 1154339687

Keith Smithson, OD

Practitioner Optometrist Reston, VA

Practice location

Address: 11656 Plaza America Dr, Reston, VA 20190-4767
Phone: (703) 467-9080
Fax: (703) 467-9082
Mailing address: 7263e Arlington Blvd, Falls Church, VA 22042-3219

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 0618001041 (VA)

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Registry record

NPI: 1154339687
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2006
Record last updated: 8 Jul 2007

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.