Organization
EYE CARE CENTER OF LEESBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG W MCGREW OD (PRESIDENT)
(703) 777-1299
Entity
Organization
Contact information
Practice address
12 FAIRFAX ST SE, LEESBURG, VA 20175-3616
(703) 777-1299
(703) 777-5645
Mailing address
12 FAIRFAX ST SE, LEESBURG, VA 20175-3616
(703) 777-1299
(703) 777-5645
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000421
VA
Other
Enumeration date
10/20/2006
Last updated
02/08/2012
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