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Organization

FS OPTOMETRY LLC

Active
Other names
Ashburn Vision Source
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN W HINKLE O.D. (MANAGING OPTOMETRIST)
(703) 724-9948
Entity
Organization

Contact information

Practice address
44075 PIPELINE PLZ, SUITE 205, ASHBURN, VA 20147-5881
(703) 724-9948
(703) 724-9949
Mailing address
44075 PIPELINE PLZ, SUITE 205, ASHBURN, VA 20147-5881
(703) 724-9948
(703) 724-9949

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001162
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0618001162
STATE LICENSE
VA
Enumeration date
07/23/2006
Last updated
03/07/2023
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