NPI 1851568562

Ronald S Bauer, OPTICIAN

Practitioner Optician Alexandria, VA

Practice location

Address: 4680 King St, Alexandria, VA 22302-1215
Phone: (703) 671-1313

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 616 (VA)

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Registry record

NPI: 1851568562
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 May 2008
Record last updated: 12 May 2008

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.