Organization
MOA MID-ATLANTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M ALLEN OD (CEO / DOCTOR)
(703) 719-8811
Entity
Organization
Contact information
Practice address
3910 CENTREVILLE RD STE 102, CHANTILLY, VA 20151-3280
(703) 719-8811
(703) 263-2441
Mailing address
3910 CENTREVILLE RD STE 102, CHANTILLY, VA 20151-3280
(703) 719-8811
(703) 263-2441
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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