Healthcare Provider Details

I. General information

NPI: 1619087079
Provider Name (Legal Business Name): KARYN R SEFFENS OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

869 JOHN MARSHALL HWY
FRONT ROYAL VA
22630-4578
US

IV. Provider business mailing address

40855 MANOR HOUSE RD
LEESBURG VA
20175-6519
US

V. Phone/Fax

Practice location:
  • Phone: 540-635-3223
  • Fax: 540-635-1050
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0618001559
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOP10000164
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: