Jerry J Deola is a Optometrist in Woodbridge, Virginia. Jerry J Deola practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jerry J Deola is 1093709594. The last update date is 2014-03-21.
Jerry J Deola's current location address is 4460 Dale Blvd, Woodbridge, Virginia. You can contact this provider via phone number 7036708085. The mailing address for Jerry J Deola is 4460 Dale Blvd, Woodbridge, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry J Deola |
|---|---|
| Address | 4460 Dale Blvd, Woodbridge, Virginia |
| Phone Number | 7036708085 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1093709594 |
|---|---|
| Provider Enumeration Date | 2005-09-12 |
| Last Updated Date | 2014-03-21 |
Provider Mailing Address Detail
| Address | 4460 Dale Blvd |
|---|---|
| City | Woodbridge |
| State | Virginia (VA) |
| Post Code | 221932534 |
| Phone Number | 7036708085 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 601000801 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9204041 | VA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jerry J Deola by the Centers for Medicare & Medicaid Services (CMS)?
The Jerry J Deola has been assigned the NPI (National Provider Identifier) 1093709594. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Jerry J Deola is physically located?
The Jerry J Deola is physically situated at the following address: 4460 Dale Blvd, Woodbridge, VA, 221932534.
What is the Jerry J Deola's area of specialization and corresponding taxonomy classification?
The Jerry J Deola's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1093709594 assigned to Jerry J Deola?
The Jerry J Deola was issued its 1093709594 on 2005-09-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jerry J Deola, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerry J Deola, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-03-21.