| NPI | 1053799429 |
|---|---|
| Doing Business As | ASHBURN VISION SOURCE |
| Entity Type | Organization |
| Authorized Contact | THOMAS FINLEY Office Manager 703-772-6259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2022-07-21 |