Organization
PRINCE WILLIAM EYE ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA BYRNES (OWNER)
(703) 361-6151
Entity
Organization
Contact information
Practice address
8912 CENTREVILLE RD, MANASSAS, VA 20110-8455
(703) 361-6151
Mailing address
8912 CENTREVILLE RD, MANASSAS, VA 20110-8455
(703) 361-6151
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0601800450
VA
152W00000X
Optometrist
0618001663
VA
332B00000X
Durable Medical Equipment & Medical Supplies
5456340001
VA
Other
Enumeration date
10/16/2006
Last updated
11/16/2010
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