Organization
CBKOPT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE E BAE OD (OPTOMETRIST)
(703) 447-2179
Entity
Organization
Contact information
Practice address
8025 TYSONS CORNER CTR, MC LEAN, VA 22102-4525
(703) 447-2179
Mailing address
902 CENTRILLION DR, MC LEAN, VA 22102-1442
(703) 447-2179
(703) 848-8359
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001234
VA
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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