Organization
EYE INSTITUTE OF RESTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEEBANI BATHIJA GREWAL OD (OPTOMETRIST/PRESIDENT)
(703) 537-8157
Entity
Organization
Contact information
Practice address
1800 MICHAEL FARADAY DR, SUITE 104, RESTON, VA 20190-5354
(703) 537-8157
(571) 201-8672
Mailing address
1800 MICHAEL FARADAY DR, SUITE 104, RESTON, VA 20190-5354
(703) 537-8157
(571) 201-8672
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001503
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326385543
—
VA
Enumeration date
01/08/2013
Last updated
02/23/2024
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