Organization
KIM QUYEN BUI OD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM QUYEN BUI O.D. (PRESIDENT)
(703) 266-9099
Entity
Organization
Contact information
Practice address
14637 LEE HIGHWAY, SUITE 104, CENTREVILLE, VA 20121-5830
(703) 266-9099
Mailing address
7613 NORTHINGTON CT, GAINESVILLE, VA 20155-4856
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001200
VA
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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