Individual
DR. SANDRA KAY MAROTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
13029 LEE JACKSON MEMORIAL HWY, FAIRFAX, VA 22033-2001
(703) 322-2020
(703) 322-1221
Mailing address
13029 LEE JACKSON MEMORIAL HWY, FAIRFAX, VA 22033-2001
(703) 322-2020
(703) 322-1221
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000113
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
411854
OCI MOMS
—
01
—
541660280
CIGNA
—
01
—
5671134
AETNA
—
01
—
VA1534
EYEMED
VA
Enumeration date
09/15/2006
Last updated
12/08/2009
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