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

Moa Mid-Atlantic LLC

Organization Optometrist · NPI 1073279378

Moa Mid-Atlantic LLC is an Optometrist in Chantilly, Virginia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3910 Centreville Rd Ste 102
Chantilly, VA 20151-3280
Phone: (703) 719-8811
Fax: (703) 263-2441
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1073279378
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Allen — Ceo / Doctor · (703) 719-8811
NPI enumeratedNovember 10, 2021
Last updated in NPPESNovember 10, 2021
Certification dateNovember 10, 2021
Mailing address3910 Centreville Rd Ste 102, Chantilly, VA 20151-3280

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