James W Mattern, O.D.

NPI #1104973205 in Fairfax, Virginia

Provider Information

NPI Number: 1104973205
Entity Type: Individual
Name: James W Mattern, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jan 4, 2007
Last Updated: Apr 3, 2012

Practice Location

Address: 3025 HAMAKER CT STE 101
City: Fairfax
State: Virginia
ZIP Code: 22031-2229
Phone: (703) 876-9630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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