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Contact Information

BALLSTON OPTOMETRY, LLC
4121 WILSON BLVD STE 100
ARLINGTON, VA22203-4143
 Phone: 703-525-7474
 Fax: 703-525-4108
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BALLSTON OPTOMETRY, LLC

NPI Number 1083779094
LBN Legal business name BALLSTON OPTOMETRY, LLC
Authorized official SUE HEALEY - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 12/27/2006
Last updated 04/28/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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