Organization
TOTAL OPTOMETRIC CARE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINH THI HOANG-BRALEY O.D. (PRESIDENT)
(703) 486-2620
Entity
Organization
Contact information
Practice address
2805 COLUMBIA PIKE, ARLINGTON, VA 22204-4411
(703) 486-2620
(703) 486-0208
Mailing address
2805 COLUMBIA PIKE, ARLINGTON, VA 22204-4411
(703) 486-2620
(703) 486-0208
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000389
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259649
ANTHEM BCBS
VA
01
—
2781116
AETNA
VA
01
—
293534
MAMSI/MDIPA
VA
01
—
51600820
PHCS
VA
01
—
F6910001
CAREFIRST BCBS
VA
Enumeration date
05/23/2007
Last updated
04/20/2008
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