Healthcare Provider Details

I. General information

NPI: 1083729339
Provider Name (Legal Business Name): NORTHERN VIRGINIA OPHTHALMOLOGY ASSOC P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6231 LEESBURG PIKE SUITE 608
FALLS CHURCH VA
22044-2102
US

IV. Provider business mailing address

6231 LEESBURG PIKE SUITE 608
FALLS CHURCH VA
22044-2102
US

V. Phone/Fax

Practice location:
  • Phone: 703-534-3900
  • Fax: 703-536-3729
Mailing address:
  • Phone: 703-534-3900
  • Fax: 703-536-3729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM LAWRENCE RICH III
Title or Position: PRESIDENT
Credential: M.D.
Phone: 703-534-3900