Individual
ALVIN SIV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6756 RICHMOND HWY, ALEXANDRIA, VA 22306-6701
(703) 768-1677
Mailing address
224-D CORNWALL STREET, NW., SUITE 403, LEESBURG, VA 20176-6701
(703) 737-6010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002920
VA
152W00000X
Optometrist
27OA00669300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356894869
—
VA
Enumeration date
08/02/2016
Last updated
08/02/2023
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