Jeetandra M. Athelli, O.D. Valid NPI

Individual provider · Optometrist · Chantilly, VA

NPI

1902808181

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

0618000308 (VA)

Sex

Male

Sole proprietor

Yes

Enumerated

2005-06-01

Last updated

2015-07-08