Individual
DR. TINA ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
13934 ESTATE MANOR DR UNIT J, GAINESVILLE, VA 20155-5951
(703) 594-9099
Mailing address
13934 ESTATE MANOR DR UNIT J, GAINESVILLE, VA 20155-5951
(703) 594-9099
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002715
VA
152W00000X
Optometrist
2013
AZ
Other
Enumeration date
08/01/2014
Last updated
12/07/2022
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