Individual
DR. LARRY N. LONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3800 FAIRFAX DR STE 1, ARLINGTON, VA 22203-1703
(703) 522-3454
(703) 522-9636
Mailing address
3800 FAIRFAX DR STE 1, ARLINGTON, VA 22203-1703
(703) 522-3454
(703) 522-9636
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000084
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410042860
RAILROAD MEDICARE
VA
Enumeration date
07/06/2006
Last updated
08/18/2014
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