Springfield Mall Optical, Inc.
NPI #1184744310 in Springfield, Virginia
Provider Information
- NPI Number
- 1184744310
- Entity Type
- Organization
- Organization Name
- Springfield Mall Optical, Inc.
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Mar 30, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 6795 SPRINGFIELD MALL
- City
- Springfield
- State
- Virginia
- ZIP Code
- 22150-1704
- Phone
- (703) 971-6026
Authorized Official
- Name
- MRS. ANA D PUHL
- Title
- VICE PRESIDENT
- Phone
- (703) 971-6026
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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