Individual
ALEXANDER SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1950 OLD GALLOWS RD, #100, VIENNA, VA 22182
(703) 847-8899
(703) 847-5177
Mailing address
1701 ROCKVILLE PIKE, SUITE A4, ROCKVILLE, MD 20852
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001565
VA
152W00000X
Optometrist
OP1000103
DC
152W00000X
Optometrist
TA1956
MD
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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