Organization · Type 2 NPI
Springfield Mall Optical, Inc.
Eyewear Supplier · Springfield, VA
NPI number
1184744310
Active
Practice location
6795 Springfield Mall
Springfield, VA 22150-1704
Fax (703) 971-8695
Mailing address
1880 Howard Ave Ste 301B
Vienna, VA 22182-2611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | 736363 (VA) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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About NPI 1184744310
Springfield Mall Optical, Inc.'s National Provider Identifier is 1184744310, issued on Mar 30, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Springfield, VA. The record was last updated on Aug 22, 2020.