Individual
DOMINIC STEWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 MAPLE AVE W, VIENNA, VA 22180-4222
(703) 938-5544
(703) 938-5542
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618003420
VA
Other
Enumeration date
04/01/2024
Last updated
06/26/2024
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