ANTHONY BARDIA KOUCHAK

FALLS CHURCH, VA
NPI1518044924
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: VA  0618000564)
Enumeration Date2006-11-01
Last Update Date2020-05-28
Business Address
DR. ANTHONY BARDIA KOUCHAK OD
5701 COLUMBIA PIKE STE C1
FALLS CHURCH, VA 22041-2900
Phone number: 703-671-1400
Mailing Address
DR. ANTHONY BARDIA KOUCHAK OD
1950 OLD GALLOWS RD STE 520
VIENNA, VA 22182-3970
Phone number: 703-847-8899