Organization
LORI A. BUTLER, O.D., LLC
Active
Other names
Fair Lakes Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
LORI A. BUTLER OD (OPTOMETRIST)
(571) 239-1465
Entity
Organization
Contact information
Practice address
3140 BRADFORD WOOD CT, OAKTON, VA 22124
(713) 391-4655
(703) 281-0304
Mailing address
3140 BRADFORD WOOD CT, OAKTON, VA 22124-2738
(571) 239-1465
(703) 281-0304
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000335
VA
Other
Enumeration date
08/18/2010
Last updated
08/31/2018
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