Individual
DR. CHRISTINE BURRIS WISECARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
8138 WATSON ST, MC LEAN, VA 22102-4416
(703) 827-5454
(703) 827-5539
Mailing address
8138 WATSON ST, MC LEAN, VA 22102-4416
(703) 827-5454
(703) 827-5539
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001454
VA
152W00000X
Optometrist
OP1000091
DC
152W00000X
Optometrist
TA1779
MD
Other
Enumeration date
06/13/2006
Last updated
08/28/2020
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