Organization
SPRINGFIELD MALL OPTICAL, INC.
Active
Other names
Sterling Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANA D PUHL (VICE PRESIDENT)
(703) 971-6026
Entity
Organization
Contact information
Practice address
6795 SPRINGFIELD MALL, SPRINGFIELD, VA 22150-1704
(703) 971-6026
(703) 971-8695
Mailing address
1880 HOWARD AVE STE 301B, VIENNA, VA 22182-2611
(703) 761-9504
(701) 761-9542
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
736363
VA
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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