Organization
OPTIMUM OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER RANDOLPH (OWNER)
(703) 273-2398
Entity
Organization
Contact information
Practice address
3930 PENDER DRIVE, SUITE #10, FAIRFAX, VA 22030-0985
(703) 273-2398
(703) 273-0239
Mailing address
3930 PENDER DRIVE, SUITE #10, FAIRFAX, VA 22030-0985
(703) 273-2398
(703) 273-0239
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101-001390
VA
Other
Enumeration date
08/25/2006
Last updated
03/26/2009
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