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Organization

OPTICAL ILLUSIONS INC.

Active
Other names
Rana Iman, OD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANA IMAN O.D. (OWNER/OPTOMETRIST)
(703) 425-0600
Entity
Organization

Contact information

Practice address
8990 FERN PARK DRIVE, SUITE A, BURKE, VA 22015-2201
(034) 250-6007
(703) 425-3982
Mailing address
8990 FERN PK DR, SUITE A, BURKE, VA 22015-2539
(703) 425-0600
(703) 425-3982

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001010
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1063424406
TYPE 1 NPI
VA
Enumeration date
12/11/2013
Last updated
05/18/2020
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