Fair Lakes Optometry

Optometrist · Fairfax, VA

Organization Active NPI

NPI number 1467974634

Practice location

13047 Fair Lakes Shopping Ctr
Fairfax, VA 22033-5179
Phone
(703) 502-3090

Open in Google Maps

NPI record

NPI
1467974634
Entity type
Organization (Type 2)
Enumeration date
July 10, 2017
Last updated
July 25, 2017
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 0618002149 VA

Mailing address

12587 Fair Lakes Cir # 502
Fairfax, VA 22033-3822
Phone
(703) 502-3090

Authorized official

Name
Dr. Anh Nguyen, OD
Title
Optometrist
Phone
(571) 435-4558

About Fair Lakes Optometry

Fair Lakes Optometry is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 13047 Fair Lakes Shopping Ctr, Fairfax, VA 22033-5179. The NPI number 1467974634 was assigned on July 10, 2017 and the record was last updated on July 25, 2017.

Fair Lakes Optometry lists a license in the registry: #0618002149 (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. Anh Nguyen, OD, Optometrist.

Frequently asked questions

What is the NPI number of Fair Lakes Optometry?

The NPI number is 1467974634.

What is the phone number of Fair Lakes Optometry?

The phone number listed for the practice location is (703) 502-3090.

Where is Fair Lakes Optometry located?

13047 Fair Lakes Shopping Ctr, Fairfax, VA 22033-5179.

What is the taxonomy code for Fair Lakes Optometry?

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.

Other Optometrist providers in Fairfax

All Optometrist providers in Fairfax, VA →