=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023353638
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STEER OPTICAL LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/07/2012
-----------------------------------------------------
Last Update Date | 12/07/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4238 WILSON BLVD SUITE 3140
-----------------------------------------------------
City | ARLINGTON
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22203-1823
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-524-2800
-----------------------------------------------------
Fax | 703-524-9493
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4238 WILSON BLVD SUITE 3140
-----------------------------------------------------
City | ARLINGTON
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22203-1823
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-524-2800
-----------------------------------------------------
Fax | 703-524-9493
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/OPTOMETRIST
-----------------------------------------------------
Name | HUGH C STEER
-----------------------------------------------------
Credential | O.D.
-----------------------------------------------------
Telephone | 301-219-0562
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM2500X
-----------------------------------------------------
Taxonomy Name | Medical Specialty Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------