Organization
TYSONS CORNER OPTICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL LETO M.D. (OWNER)
(703) 790-0803
Entity
Organization
Contact information
Practice address
8150 LEESBURG PIKE, SUITE 901, VIENNA, VA 22182-7715
(703) 790-0803
(703) 356-5639
Mailing address
8150 LEESBURG PIKE, SUITE 901, VIENNA, VA 22182-7750
(703) 790-0803
(703) 356-5639
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101001692
VA
Other
Enumeration date
06/29/2007
Last updated
08/07/2012
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