Organization
DULLES FAMILY EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOJGAN HAGHSHENAS OD (OPTOMETRIST)
(703) 270-1190
Entity
Organization
Contact information
Practice address
24635 DULLES LANDING DR, DULLES, VA 20166-2614
(703) 270-1190
(703) 270-1190
Mailing address
6603 HARNESS HILL CT, CENTREVILLE, VA 20121-3817
(703) 969-8748
(703) 270-1191
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/26/2020
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