Individual
ROSS JAY SHOTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1950 OLD GALLOWS RD, #100, VIENNA, VA 22182-3990
(703) 847-8899
Mailing address
18111 TOWN CENTER DR, OLNEY, MD 20832-1479
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001113
VA
152W00000X
Optometrist
OP823
DC
152W00000X
Optometrist
TA1631
MD
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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