Individual
HANNAH Y SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2700 POTOMAC MILLS CIR STE 200, WOODBRIDGE, VA 22192-4625
(703) 492-1008
(703) 492-1008
Mailing address
2700 POTOMAC MILLS CIR STE 200, WOODBRIDGE, VA 22192-4625
(703) 492-1008
(703) 492-1008
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002474
VA
152W00000X
Optometrist
TA2112
MD
152WC0802X
Corneal and Contact Management Optometrist
TA2112
MD
Other
Enumeration date
08/06/2008
Last updated
12/01/2023
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