OrganizationActive
Daniel Poth, O.D. and Associates, P.C.
NPI 1093459182 · Eyewear Supplier · Fairfax, VA
Provider details
- NPI number
- 1093459182
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Dolsie Mcdonald, Network Management Manager(726) 444-4178
Specialties & taxonomies
Suppliers
Practice location
9510 Main St
Fairfax, VA 22031-4031
Phone: (726) 444-4172
Approximate (ZIP-level) locationGet directions
Mailing address
175 E Houston St
San Antonio, TX 78205-2299
Registry dates
- Enumerated
- 2022-04-25
- Last updated
- 2022-04-25
- Certified
- 2022-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.