Kaiser Foundation Health Plan of the Mid Atlantic States, INC

NPI #1811709561 in Mc Lean, Virginia

Provider Information

NPI Number: 1811709561
Entity Type: Organization
Organization Name: Kaiser Foundation Health Plan of the Mid Atlantic States, INC
Subpart: Yes (part of a larger organization)
Parent Organization: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.
Primary Specialty: Optometrist
Enumeration Date: Jan 21, 2025
Last Updated: Oct 10, 2025

Practice Location

Address: 8008 WESTPARK DR
City: Mc Lean
State: Virginia
ZIP Code: 22102-3109
Phone: (301) 816-2424

Authorized Official

Name: COLLEEN SWINTON
Title: DIRECTOR, CREDENTIALING
Phone: (301) 257-2797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X
Optometrist	152W00000X	Primary

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