Lake Ridge Vision Center, Inc

NPI 1508953431

Information of Lake Ridge Vision Center, Inc

The NPI 1508953431 is an Organization type. NPI No 1508953431 belongs to Lake Ridge Vision Center, Inc. Lake Ridge Vision Center, Inc specializes in Optometrist. is practising at 12444 Dillingham Sq, Woodbridge, Virginia 22192. You can also contact him via phone number (703) 680-4323.

Practice address located

  • 12444 Dillingham Sq
  • Woodbridge, Virginia 22192
  • (703) 680-4323
  • (703) 680-4323

Mailling address located

  • 12444 Dillingham Sq
  • Woodbridge, Virginia 22192
  • (703) 680-4323
  • (703) 680-4358
NPI No 1508953431
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes152W00000XOptometristn/an/a
Identifier for this provider
StateIdentifierTypeIssuer
VAC02323Medicare PINn/a
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