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ADVANCED RETINA CENTER LC NPI 1275783235


NPI Information

NPI: 1275783235
Provider Name: ADVANCED RETINA CENTER, LC
Classification: Ophthalmology - 207WX0107X
Entity Type: Organization

Specialization: Retina Specialist

Address:
8233 OLD COURTHOUSE RD
SUITE 300
VIENNA, VA
ZIP 22182
Phone: (703) 917-0012
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ADVANCED RETINA CENTER, LC is a retina specialist ophthalmology in Vienna, VA. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. ADVANCED RETINA CENTER, LC NPI is 1275783235. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8233 OLD COURTHOUSE RD
SUITE 300
VIENNA, VA
ZIP 22182-816
Phone: (703) 917-0012
Fax: (703) 917-0028

The provider's authorized official is Jung J. Woo .
The authorized official title is Member-manager and has the following contact phone number (703) 917-0012.

The enumeration date for this NPI number is 9/26/2008 and was last updated on 9/1/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207WX0107XOphthalmologyRetina SpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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