Provider Demographics
NPI:1386784247
Name:KAPOOR, RITU (OD)
Entity type:Individual
Prefix:DR
First Name:RITU
Middle Name:
Last Name:KAPOOR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:10401 BOSWELL LN
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-6301
Mailing Address - Country:US
Mailing Address - Phone:240-418-2435
Mailing Address - Fax:703-430-3320
Practice Address - Street 1:46175 WESTLAKE DR
Practice Address - Street 2:STE 210
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-5873
Practice Address - Country:US
Practice Address - Phone:703-430-2220
Practice Address - Fax:703-430-3320
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA618000394152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist