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General NPI Number Information
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NPI Number | 1912886359
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Entity Type | Organization
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Legal Business Name | BEYOND EYECARE
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 11/09/2025
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Provider Practice Location Address
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Address Line | 2911 HUNTER MILL RD STE 101
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City | OAKTON
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State | VA
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Zip | 22124-1719
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Country | US
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Telephone | 703-239-6630
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Fax |
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Provider Business Mailing Address
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Address Line | 2539 JOHN MILTON DR
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City | HERNDON
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State | VA
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Zip | 20171-2527
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Country | US
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Telephone | 703-239-6633
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAMI KHALDIEH
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Credential |
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Telephone | 703-239-6633
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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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