MEDICARE: EDWARD CONOR PAPIE O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	0618003219	VA

General Provider Information

NPI Number	:	1639868706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD CONOR PAPIE O.D.

Provider Business Mailing Address
First Line	:	8614 WESTWOOD CENTER DR FL 9
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182
Country	:	US
Telephone Number	:	703-847-8899
Fax Number	:

Provider Business Practice Location Address
First Line	:	4555 DUKE ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22304-2368
Country	:	US
Telephone Number	:	703-370-7111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2023
Last Update Date	:	05/08/2023

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Directions to “ EDWARD CONOR PAPIE O.D.” Practice Location

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