Organization
NOVA PREMIER EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIAN HANG NGUYEN (OPTOMETRIST)
(703) 359-9290
Entity
Organization
Contact information
Practice address
10333 DEMOCRACY LN, SUITE A, FAIRFAX, VA 22030-2544
(703) 359-9290
Mailing address
10333 DEMOCRACY LN, SUITE A, FAIRFAX, VA 22030-2544
(703) 359-9290
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001480
VA
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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