Provider Demographics
NPI:1972889939
Name:CHRISTOPHER H SON OD PC
Entity type:Organization
Organization Name:CHRISTOPHER H SON OD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:H
Authorized Official - Last Name:SON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:703-748-1366
Mailing Address - Street 1:8093L TYSONS CORNER CTR
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-4505
Mailing Address - Country:US
Mailing Address - Phone:703-748-1366
Mailing Address - Fax:703-748-1352
Practice Address - Street 1:8093L TYSONS CORNER CTR
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102
Practice Address - Country:US
Practice Address - Phone:703-748-1366
Practice Address - Fax:703-748-1352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-22
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001121152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA417616Medicare PIN