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Contact Information

CRESTWOOD OPTICAL
8078 SUDLEY RD
MANASSAS, VA20109
 Phone: 703-369-1616
 Fax: 703-369-7902
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for CRESTWOOD OPTICAL · (Female)

NPI # 1275550089
Status Active
Credentials
Entity Individual
Enumeration date 07/16/2006
Last updated 06/20/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 967
  • VA Medicaid 9282831
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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