Potomac Eye Center
NPI #1114052065 in Springfield, Virginia
Provider Information
- NPI Number
- 1114052065
- Entity Type
- Organization
- Organization Name
- Potomac Eye Center
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 22, 2007
- Last Updated
- Dec 17, 2008
Practice Location
- Address
- 5411A BACKLICK RD
- City
- Springfield
- State
- Virginia
- ZIP Code
- 22151-3915
- Phone
- (703) 256-2474
Authorized Official
- Name
- DR. DOUGLAS JAMES FRASER,JR., M.D.
- Title
- PRESIDENT
- Phone
- (703) 256-2474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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