Individual
JOSEPH V. OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7519 PRESIDENTIAL LN, MANASSAS, VA 20109-2629
(703) 257-7587
Mailing address
7519 PRESIDENTIAL LN, MANASSAS, VA 20109-2629
(703) 257-7587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001835
VA
152WC0802X
Corneal and Contact Management Optometrist
0618001835
VA
152WP0200X
Pediatric Optometrist
0618001835
VA
152WS0006X
Sports Vision Optometrist
0618001835
VA
152WV0400X
Vision Therapy Optometrist
0618001835
VA
152WX0102X
Occupational Vision Optometrist
0618001835
VA
Other
Enumeration date
04/03/2007
Last updated
05/29/2010
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