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Organization
NORTHERN VIRGINIA EYE SURGERY CENTER, LLC
Active
Organization
NORTHERN VIRGINIA EYE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM RICH III M.D. (MEDICAL DIRECTOR)
(703) 534-3900
Entity
Organization
Contact information
Practice address
2710 PROSPERITY AVE, SUITE 150, FAIRFAX, VA 22031-4320
(703) 289-1290
(703) 289-1298
Mailing address
2710 PROSPERITY AVE, SUITE 150, FAIRFAX, VA 22031-4320
(703) 289-1290
(703) 289-1298
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OH712
VA
Other
Enumeration date
04/11/2007
Last updated
10/15/2008
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