Organization
FAIRFAX EYE DOCS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW HAN O.D. (OWNER)
(703) 691-7584
Entity
Organization
Contact information
Practice address
11011 LEE HWY, FAIRFAX, VA 22030-5002
(703) 691-7584
(703) 591-6271
Mailing address
11011 LEE HWY, FAIRFAX, VA 22030-5002
(703) 691-7584
(703) 591-6271
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000387
VA
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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