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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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