Individual
DR. VIJAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
11139 LEE HWY, STORE # 5780, FAIRFAX, VA 22030-5004
(703) 679-1030
Mailing address
11139 LEE HWY, FAIRFAX, VA 22030-5004
(703) 679-1030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002325
VA
Other
Enumeration date
06/05/2014
Last updated
07/24/2014
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