Organization
JING GUO, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JING GUO O.D. (OPTOMETRIST)
(571) 261-4929
Entity
Organization
Contact information
Practice address
7340 HERITAGE VILLAGE PLZ, SUITE 102, GAINESVILLE, VA 20155-3079
(571) 261-4929
Mailing address
8703 ESQUIRE CROSSING LN, VIENNA, VA 22180-7088
(571) 261-4929
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000958
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9233571
—
VA
Enumeration date
10/06/2006
Last updated
05/19/2011
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