Organization
NOVA EYE CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA VU KELLY OD (OPTOMETRIST/ MEMBER)
(703) 813-8997
Entity
Organization
Contact information
Practice address
3223 DUKE ST, SUITE B3, ALEXANDRIA, VA 22314-4586
(703) 813-8997
(703) 662-5408
Mailing address
3223 DUKE ST STE B3, ALEXANDRIA, VA 22314-4555
(703) 813-8997
(703) 662-5408
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1104014455
VA
Other
Enumeration date
09/18/2008
Last updated
01/08/2020
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