MEDICARE: DR. CHRISTOPHER SON O.D. PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	0618001121	VA

General Provider Information

NPI Number	:	1063569838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER SON O.D. PC

Provider Business Mailing Address
First Line	:	8093L TYSONS CORNER CTR
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-4505
Country	:	US
Telephone Number	:	703-748-1366
Fax Number	:	703-748-1352

Provider Business Practice Location Address
First Line	:	8093L TYSONS CORNER CTR
Second Line	:
City	:	MCLEAN
State	:	VA
Zip	:	22102-4505
Country	:	US
Telephone Number	:	703-748-1366
Fax Number	:	703-748-1352

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	04/25/2018

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