DR. Vijal Shah, O.D.

NPI #1831502095 in Fairfax, Virginia

Provider Information

NPI Number: 1831502095
Entity Type: Individual
Name: DR. Vijal Shah, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 5, 2014
Last Updated: Jul 24, 2014

Practice Location

Address: 11139 LEE HWY
Address 2: STORE # 5780
City: Fairfax
State: Virginia
ZIP Code: 22030-5004
Phone: (703) 679-1030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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