Organization
DRSTHELEN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURT D. THELEN OD (PRESIDENT)
(703) 941-4111
Entity
Organization
Contact information
Practice address
7630 LITTLE RIVER TPKE STE 100, ANNANDALE, VA 22003-2614
(703) 941-4111
(703) 941-3929
Mailing address
7540 LITTLE RIVER TPKE STE B, ANNANDALE, VA 22003-2839
(703) 941-4111
(703) 941-3929
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0603000369
VA
Other
Enumeration date
02/02/2007
Last updated
07/21/2022
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