Individual
DR. CHANTANA MELANIE MOAPICHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9600 MAIN ST STE H, FAIRFAX, VA 22031-3798
(703) 764-3937
Mailing address
9600 MAIN ST STE H, FAIRFAX, VA 22031-3798
(703) 764-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618003505
VA
152WL0500X
Low Vision Rehabilitation Optometrist
0618003505
VA
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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