Organization
GREENBRIAR VISION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS JAMES MAROTTA O.D. (OPTOMETRIST)
(703) 322-2020
Entity
Organization
Contact information
Practice address
13029 LEE JACKSON MEMORIAL HWY, FAIRFAX, VA 22033-2001
(703) 322-2020
(703) 322-1221
Mailing address
13029 LEE JACKSON MEMORIAL HWY, FAIRFAX, VA 22033-2001
(703) 322-2020
(703) 322-1221
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0618000088
VA
Other
Enumeration date
03/30/2011
Last updated
02/23/2012
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