Organization
NORTHERN VIRGINIA EYE PHYSICIANS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WELLINGTON CHANG MD (PRESIDENT)
(703) 951-3930
Entity
Organization
Contact information
Practice address
10721 MAIN ST STE 3200, FAIRFAX, VA 22030-6906
(703) 951-3930
Mailing address
10721 MAIN ST STE 3200, FAIRFAX, VA 22030-6906
(703) 951-3930
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101248654
VA
Other
Enumeration date
06/17/2013
Last updated
06/28/2013
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