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Organization

JAMES W MATTERN OD, PLLC

Active
Other names
Capital Eye Consultants
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES W MATTERN OD (OWNER/PRESIDENT)
(703) 876-9630
Entity
Organization

Contact information

Practice address
3025 HAMAKER CT STE 101, FAIRFAX, VA 22031-2229
(703) 876-9630
(703) 876-0163
Mailing address
3025 HAMAKER CT STE 101, FAIRFAX, VA 22031-2229
(703) 876-9630
(703) 876-0163

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
207W00000X
Ophthalmology Physician

Other

Enumeration date
05/02/2022
Last updated
05/19/2022
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