Organization
NORTHERN VIRGINIA EYE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM RICH III M.D. (MEDICAL DIRECTOR)
(703) 534-3900
Entity
Organization
Contact information
Practice address
2710 PROSPERITY AVE, SUITE 150, FAIRFAX, VA 22031-4320
(703) 289-1290
(703) 289-1298
Mailing address
2710 PROSPERITY AVE, SUITE 150, FAIRFAX, VA 22031-4320
(703) 289-1290
(703) 289-1298
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OH712
VA
Other
Enumeration date
04/11/2007
Last updated
10/15/2008
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