Organization
THE EYE INSTITUTE INC
Active
Organization
THE EYE INSTITUTE INC
Active
Other names
Liberty Laser Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY A TANCHEL MD (PRESIDENT, MEDICAL DIRECTOR)
(571) 234-5678
Entity
Organization
Contact information
Practice address
8321 OLD COURTHOUSE RD, VIENNA, VA 22182-3817
(571) 234-5678
Mailing address
8321 OLD COURTHOUSE ROAD, VIENNA, VA 22182
(571) 234-5678
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2008
Last updated
09/18/2023
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