Organization
LIFETIME VISION& CONTACTS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON VINCENT CULP JR. O.D. (PRESIDENT)
(703) 729-8393
Entity
Organization
Contact information
Practice address
44345 PREMIER PLZ, SUITE # 100, ASHBURN, VA 20147-5053
(703) 729-8393
(703) 729-8394
Mailing address
44345 PREMIER PLZ, SUITE # 100, ASHBURN, VA 20147-5053
(703) 729-8393
(703) 729-8394
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
0618000034
VA
Other
Enumeration date
10/05/2007
Last updated
10/10/2008
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