James, Keith

James, Keith is an sole proprietor health care provider with primary practice located at 6828 Springfield Mall , Springfield VA 22150-1720. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Eye and Vision Services Providers / Optometrist is his primary health care specialty. James, Keith can be contacted via phone (703) 971-2021.

Contact Information

Primary practice address
6828 Springfield Mall Springfield VA 22150-1720
Phone: (703) 971-2021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618002556 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Eye and Vision Services Providers / Optometrist 152W00000X TA-2497 Maryland

Profile Details

NPI number 1235430992
LBN Legal business name James, Keith
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2010
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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