Organization
FOR EYES OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE COSTA (CEO)
(305) 557-9004
Entity
Organization
Contact information
Practice address
3690 KING ST, ALEXANDRIA, VA 22302-1921
(703) 552-6352
(703) 933-6327
Mailing address
3690 KING ST, ALEXANDRIA, VA 22302-1921
(703) 552-6352
(703) 933-6327
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376751826
NPI
VA
Enumeration date
05/12/2017
Last updated
01/17/2019
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