Organization
NORTHERN VIRGINIA VISION CENTER, INC.
Active
Other names
The Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYMAN BOUTROS M.D. (PRESIDENT)
(703) 573-8080
Entity
Organization
Contact information
Practice address
8316 ARLINGTON BLVD, SUITE 235, FAIRFAX, VA 22031-5207
(703) 573-8080
(703) 573-2929
Mailing address
8316 ARLINGTON BLVD, SUITE 235, FAIRFAX, VA 22031-5207
(703) 573-8080
(703) 573-2929
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101043806
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95149000
—
WV
05
—
9639000
—
WV
Enumeration date
10/16/2007
Last updated
10/16/2007
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