Organization
EYELAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBER BOJARSKI (OPTICIAN)
(301) 467-0969
Entity
Organization
Contact information
Practice address
12120A FAIRFAX TOWNE CTR, FAIRFAX, VA 22033-2876
(703) 246-9596
Mailing address
12120A FAIRFAX TOWNE CTR, FAIRFAX, VA 22033-2876
(703) 246-9596
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101 003357
VA
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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