Organization
THIEN C. VAN & ASSOCIATES, OD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THIEN VAN O.D. (PRESIDENT/ OPTOMETRIST)
(703) 257-7580
Entity
Organization
Contact information
Practice address
8300 SUDLEY RD, SUITE I6, MANASSAS, VA 20109-3458
(703) 257-7580
(703) 257-1455
Mailing address
8300 SUDLEY RD, SUITE I6, MANASSAS, VA 20109-3458
(703) 257-7580
(703) 257-1455
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001869
VA
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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