London, Larry N.

London, Larry N. is an sole proprietor health care provider with primary practice located at 3800 Fairfax Dr Ste 1 , Arlington VA 22203-1703. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. London, Larry N. can be contacted via phone (703) 522-3454.

Contact Information

Primary practice address
3800 Fairfax Dr Ste 1 Arlington VA 22203-1703
Fax: (703) 522-9636
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618000084 Virginia

Profile Details

NPI number 1700818473
LBN Legal business name London, Larry N.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Aug 18th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700818473 NPPES
Virginia Other 410042860 RAILROAD MEDICARE

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