Organization
DANIEL POTH, O.D. AND ASSOCIATES, P.C.
Active
Other names
Hour Eyes PC
Organization subpart
No
Provider details
NPI number
Authorized official
DAN POTH O.D. (OWNER)
(703) 288-1978
Entity
Organization
Contact information
Practice address
11903L LEE JACKSON MEMORIAL HWY, SUITE G133, FAIRFAX, VA 22033
(703) 218-8036
(703) 218-9841
Mailing address
PO BOX 842375, DALLAS, TX 75284-2375
(210) 524-6663
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9280081
—
VA
Enumeration date
10/16/2006
Last updated
01/04/2013
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