Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fair Lakes Optometry

Organization Optometrist · NPI 1467974634

Fair Lakes Optometry is an Optometrist in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2017.

Licensed in
VA
In the registry since
2017

Practice location Address checks out

13047 Fair Lakes Shopping Ctr
Fairfax, VA 22033-5179
Phone: (703) 502-3090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0618002149 (VA)

Record details

NPI number1467974634
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anh Nguyen — Optometrist · (571) 435-4558
NPI enumeratedJuly 10, 2017
Last updated in NPPESJuly 25, 2017
Mailing address12587 Fair Lakes Cir # 502, Fairfax, VA 22033-3822

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