SearchVirginia152W00000X

Scott Song, OD

NPI 1710178462 · on the registry since 2007

Practice

Address
14390 Chantilly Crossing Ln
Chantilly, VA 20151
Phone
(703) 263-7970
Fax
(703) 263-7970
Organisation at this address
Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-25

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