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General NPI Number Information
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NPI Number | 1053799429
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Entity Type | Organization
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Legal Business Name | FS OPTOMETRY LLC
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Dates
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Enumeration Date | 05/18/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 44075 PIPELINE PLZ SUITE 205
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City | ASHBURN
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State | VA
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Zip | 20147-5889
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Country | US
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Telephone | 703-724-9948
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Fax |
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Provider Business Mailing Address
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Address Line | 44075 PIPELINE PLZ SUITE 205
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City | ASHBURN
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State | VA
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Zip | 20147-5889
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Country | US
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Telephone | 703-724-9948
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Fax | 703-724-9949
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. THOMAS FINLEY
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Credential |
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Telephone | 703-772-6259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State | VA
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