Individual
EDWIN SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
PENTAGON CONCOURSE ROOM 2C113, PENTAGON VISION CENTER, WASHINGTON, DC 20301
(703) 920-2020
(703) 920-3852
Mailing address
6407 RECREATION LANE, FALLS CHURCH, VA 22041
(703) 920-2020
(703) 920-3852
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000674
VA
152W00000X
Optometrist
OP406
DC
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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