Healthcare Provider Details

I. General information

NPI: 1881608230
Provider Name (Legal Business Name): HOPE SNIVELY OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 12/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7263E ARLINGTON BLVD
FALLS CHURCH VA
22042-3219
US

IV. Provider business mailing address

11656 PLAZA AMERICA DR
RESTON VA
20190-4700
US

V. Phone/Fax

Practice location:
  • Phone: 703-573-1200
  • Fax: 703-573-1250
Mailing address:
  • Phone: 703-467-0359
  • Fax: 703-467-9080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0618000519
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: