Organization · Type 2 NPI
Daniel Poth, O.d. and Associates, P.c.
Eyewear Supplier · Reston, VA
NPI number
1477635936
Active
Practice location
11130L S Lakes Dr
Reston, VA 20191-4327
Fax (703) 476-4137
Mailing address
PO Box 842375
Dallas, TX 75284-2375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | None listed |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Other eyewear supplier providers in Reston
About NPI 1477635936
Daniel Poth, O.d. and Associates, P.c.'s National Provider Identifier is 1477635936, issued on Oct 20, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Reston, VA. The record was last updated on Aug 9, 2013.