Brian Randolph, OD

Optometrist · Fairfax, VA

Individual Active NPI

NPI number 1326615717

Practice location

3930 Pender Dr Ste 10
Fairfax, VA 22030-0986
Phone
(703) 273-2398

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NPI record

NPI
1326615717
Entity type
Individual (Type 1)
Enumeration date
June 5, 2021
Last updated
June 5, 2021
Certified
May 9, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 0618003022 VA

Mailing address

2784 Marshall Lake Dr
Oakton, VA 22124-1148
Phone
(703) 606-7161

About Dr. Randolph

Brian Randolph, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 3930 Pender Dr Ste 10, Fairfax, VA 22030-0986. The NPI number 1326615717 was assigned on June 5, 2021 and the record was last updated on June 5, 2021.

Dr. Randolph lists a license in the registry: #0618003022 (VA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian Randolph, OD?

The NPI number is 1326615717.

What is the phone number of Dr. Randolph?

The phone number listed for the practice location is (703) 273-2398.

Where is Dr. Randolph located?

3930 Pender Dr Ste 10, Fairfax, VA 22030-0986.

What is the taxonomy code for Dr. Randolph?

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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