Organization
FAIRFAX MEDICAL CENTER OPTICIAN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JOHN FERRARO SR. OPTICIAN (VP)
(703) 978-5170
Entity
Organization
Contact information
Practice address
10721 MAIN ST, SUITE 105, FAIRFAX, VA 22030-6959
(703) 273-4237
(703) 273-1207
Mailing address
10721 MAIN ST, SUITE 105, FAIRFAX, VA 22030-6959
(703) 273-4237
(703) 273-1207
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
103372
VA
332H00000X
Eyewear Supplier
Primary
103372
VA
Other
Enumeration date
04/12/2007
Last updated
09/11/2025
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