Russell Mattern, OD

NPI 1003134248 · on the registry since 2010

Practice

Address: 2700 Potomac Mills Cir
Suite 207
Woodbridge, VA 22192
Phone: (703) 490-5275
Organisation at this address: Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Van-Anh T. Nguyen, O.D., P.C
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: Optometrist
152W00000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-05-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia