MEDICARE: EYE RX - DUMFRIES PLLC

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

General Provider Information

NPI Number	:	1891637112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE RX - DUMFRIES PLLC

Provider Business Mailing Address
First Line	:	16830 DUMFRIES RD
Second Line	:
City	:	DUMFRIES
State	:	VA
Zip	:	22025-2059
Country	:	US
Telephone Number	:	571-404-0188
Fax Number	:

Provider Business Practice Location Address
First Line	:	16830 DUMFRIES RD
Second Line	:
City	:	DUMFRIES
State	:	VA
Zip	:	22025-2059
Country	:	US
Telephone Number	:	571-404-0188
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPTOMETRIST
Name	:	JENNIFER SUN
Credential	:	OD
Telephone Number	:	571-404-0188

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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