Maximeyes Vision Source, LLC

NPI #1295263234 in Fairfax, Virginia

Provider Information

NPI Number: 1295263234
Entity Type: Organization
Organization Name: Maximeyes Vision Source, LLC
Primary Specialty: Optometrist
Enumeration Date: Jun 2, 2017
Last Updated: Jun 20, 2017

Practice Location

Address: 11011 LEE HWY
City: Fairfax
State: Virginia
ZIP Code: 22030-5002
Phone: (703) 691-7584

Authorized Official

Name: DR. MARIA PHAM, OD
Title: OPTOMETRIST/OWNER
Phone: (703) 691-7584

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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