Organization
EYE PHYSICIANS OF VIRGINIA, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH M KARLIN M.D. (PRACTICE PRESIDENT)
(703) 437-3900
Entity
Organization
Contact information
Practice address
1800 TOWN CENTER DR STE 317, RESTON, VA 20190-3239
(703) 437-3900
(703) 437-9426
Mailing address
6845 ELM ST STE 611, MCLEAN, VA 22101-3843
(703) 356-6880
(703) 893-7336
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101037922
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
743091
DC MEDICARE GRP
DC
01
—
C14195
RAIL ROAD MEDICARE
VA
Enumeration date
01/23/2007
Last updated
11/14/2007
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