Organization
BRISTOW OPTOMETRY, LLC
Active
Other names
My Eye Dr
Organization subpart
No
Provider details
NPI number
Authorized official
NEDA FARAHMAND OD (SECRETARY)
(703) 847-8899
Entity
Organization
Contact information
Practice address
9930 SOWDER VILLAGE SQ, SUITE 220, MANASSAS, VA 20109-5464
(703) 368-2121
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001573
VA
Other
Enumeration date
03/23/2009
Last updated
05/25/2022
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