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Organization

STAR OPTICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NAM HOANG HA OPTICIAN (GENERAL MANAGER)
(571) 323-0980
Entity
Organization

Contact information

Practice address
1830 TOWN CENTER DR STE 210, RESTON, VA 20190-3236
(571) 323-0980
Mailing address
1830 TOWN CENTER DR STE 210, RESTON, VA 20190-3236
(571) 323-0980

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101002908
VA

Other

Enumeration date
05/05/2008
Last updated
05/05/2008
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