Organization
NOVA PREMIER EYECARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIAN HANG NGUYEN O.D. (OPTOMETRIST)
(571) 338-0263
Entity
Organization
Contact information
Practice address
11702U FAIR OAKS MALL, FAIRFAX, VA 22033-3325
(703) 359-9290
Mailing address
9820 BOLTON VILLAGE CT, FAIRFAX, VA 22032-1147
(571) 338-0263
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001480
VA
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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