Organization
SUSHIL K JAIN OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSHIL K. JAIN O.D. (PRESIDENT & CEO)
(240) 277-3039
Entity
Organization
Contact information
Practice address
6251 OLD DOMINION DR, MC LEAN, VA 22101-4827
(703) 534-5717
(703) 534-5718
Mailing address
2543 GALLOWS RD, DUNN LORING, VA 22027-1310
(703) 525-4411
(703) 525-0823
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001001
VA
Other
Enumeration date
07/05/2006
Last updated
06/26/2012
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