Organization
JOSEPH V. OTTO, O.D.
Active
Other names
DR. JOSEPH OTTO, OD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH OTTO OD (OWNER)
(703) 257-7587
Entity
Organization
Contact information
Practice address
7519 PRESIDENTIAL LN, MANASSAS, VA 20109-2629
(703) 257-7587
Mailing address
7519 PRESIDENTIAL LN, MANASSAS, VA 20109-2629
(703) 257-7587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001835
VA
152WC0802X
Corneal and Contact Management Optometrist
0618001835
VA
152WP0200X
Pediatric Optometrist
0618001835
VA
152WS0006X
Sports Vision Optometrist
0618001835
VA
152WV0400X
Vision Therapy Optometrist
0618001835
VA
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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