Organization
TINA ANSARI OD & ASSOCIATES, LLC
Active
Other names
Lumen Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA ANSARI OD (OWNER)
(703) 594-9099
Entity
Organization
Contact information
Practice address
13934 ESTATE MANOR DR UNIT J, GAINESVILLE, VA 20155-5951
(804) 605-9821
Mailing address
13934 ESTATE MANOR DR UNIT J, GAINESVILLE, VA 20155-5951
(703) 594-9099
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
06/01/2021
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