Maximeyes Vision Source, LLC

Optometrist · Fairfax, VA

Organization Active NPI

NPI number 1295263234

Practice location

11011 Lee Hwy
Fairfax, VA 22030-5002
Phone
(703) 691-7584
Fax
(703) 591-6271

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NPI record

NPI
1295263234
Entity type
Organization (Type 2)
Enumeration date
June 2, 2017
Last updated
June 20, 2017
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 0618002092 VA

Mailing address

1390 Chain Bridge Rd # 313
MC Lean, VA 22101-3904
Phone
(703) 691-7584

Authorized official

Name
Dr. Maria Pham, OD
Title
Optometrist/Owner
Phone
(703) 691-7584

About Maximeyes Vision Source, LLC

Maximeyes Vision Source, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 11011 Lee Hwy, Fairfax, VA 22030-5002. The NPI number 1295263234 was assigned on June 2, 2017 and the record was last updated on June 20, 2017.

Maximeyes Vision Source, LLC lists a license in the registry: #0618002092 (VA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Maria Pham, OD, Optometrist/Owner.

Frequently asked questions

What is the NPI number of Maximeyes Vision Source, LLC?

The NPI number is 1295263234.

What is the phone number of Maximeyes Vision Source, LLC?

The phone number listed for the practice location is (703) 691-7584.

Where is Maximeyes Vision Source, LLC located?

11011 Lee Hwy, Fairfax, VA 22030-5002.

What is the taxonomy code for Maximeyes Vision Source, LLC?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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