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General NPI Number Information
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NPI Number | 1891655155
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Entity Type | Organization
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Legal Business Name | IRIS EYECARE PC
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 12/07/2025
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Provider Practice Location Address
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Address Line | 7004 LITTLE RIVER TPKE # 2A
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City | ANNANDALE
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State | VA
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Zip | 22003-5965
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Country | US
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Telephone | 703-420-7311
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Fax |
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Provider Business Mailing Address
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Address Line | 1020 S GLEBE RD
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City | ARLINGTON
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State | VA
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Zip | 22204-4354
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Country | US
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Telephone | 703-420-7311
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SYEDA KUTUB
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Credential | OD
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Telephone | 703-420-7311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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