Organization
LARRY N LONDON OD
Active
Other names
Virginia Vision Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ANA M BOISSEAU (BILLING SPECIALIST)
(703) 522-3454
Entity
Organization
Contact information
Practice address
3800 FAIRFAX DR, SUITE 1, ARLINGTON, VA 22203-1711
(703) 522-3454
(703) 522-9636
Mailing address
3800 FAIRFAX DR, SUITE 1, ARLINGTON, VA 22203-1711
(703) 522-3454
(703) 522-9636
Taxonomy
Speciality
Code
Description
License number
State
156FX1202X
Optometric Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH7060
RAILROAD MEDICARE
VA
Enumeration date
08/18/2014
Last updated
08/18/2014
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