ROSS JAY SHOTER

VIENNA, VA
NPI1528001278
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: VA  0618001113)
Additional Taxonomies152W00000X Optometrist
(Licence: MD  TA1631)
152W00000X Optometrist
(Licence: DC  OP823)
Enumeration Date2006-06-13
Last Update Date2007-07-08
Business Address
-- ROSS JAY SHOTER OD
1950 OLD GALLOWS RD #100
VIENNA, VA 22182-3990
Phone number: 703-847-8899
Mailing Address
-- ROSS JAY SHOTER OD
18111 TOWN CENTER DR
OLNEY, MD 20832-1479
Phone number: