DR. Stacey Ann Tullis, O.D.

NPI #1689056020 in Ft Belvoir, Virginia

Provider Information

NPI Number: 1689056020
Entity Type: Individual
Name: DR. Stacey Ann Tullis, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 22, 2015
Last Updated: Jun 22, 2015

Practice Location

Address: 8651 JOHN J KINGMAN RD
Address 2: BLDG 2321
City: Ft Belvoir
State: Virginia
ZIP Code: 22060-6200
Phone: (703) 781-3695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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