Organization
VIRGINIA RETINA CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE MANSOUR (PRACTICE MANAGER)
(540) 349-1882
Entity
Organization
Contact information
Practice address
45 N HILL DR STE 202, WARRENTON, VA 20186-2677
(540) 349-1882
(703) 738-7157
Mailing address
45 N HILL DR STE 202, WARRENTON, VA 20186-2677
(540) 349-1882
(703) 738-7157
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01011233782
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010107024
—
VA
05
—
010107067
—
VA
Enumeration date
01/22/2007
Last updated
03/07/2025
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