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Chantal Jacques, O.D
NPI 1801025960 · on the registry since 2009
Practice
- Address
- 14337 Newbrook Dr Ste 400
Chantilly, VA 20151 - Phone
- (571) 512-5990
- Fax
- (571) 512-5989
- Organisation at this address
- Chantilly Modern Dentistry, Pc
Myeyedr Optometry Of Virginia, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Also registered as
- Optometrist
Optometrist - Licence states on file
- MO, IL, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-06
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