| NPI | 1104848050 |
|---|---|
| Doing Business As | ASHBURN VISION SOURCE |
| Entity Type | Organization |
| Authorized Contact | STEPHEN W HINKLE Managing O PT Ometrist 703-724-9948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001162) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2023-03-07 |