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General NPI Number Information
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NPI Number | 1447429444
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Entity Type | Organization
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Legal Business Name | KOTECHA EYE & LASER CENTER, PLLC
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 3801 FAIRFAX DR
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City | ARLINGTON
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State | VA
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Zip | 22203-1762
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Country | US
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Telephone | 703-528-3910
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Fax | 703-528-4367
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Provider Business Mailing Address
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Address Line | 3801 FAIRFAX DR SUITE 74
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City | ARLINGTON
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State | VA
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Zip | 22203-1762
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Country | US
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Telephone | 703-528-3910
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Fax | 703-528-4367
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Authorized Official
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Title or Position | OPHTHALMOLOGIST
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Name | DR. AMY KOTECHA
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Credential | MD
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Telephone | 347-886-6581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number | 0101243040
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License Number State | VA
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