Lake Ridge Vision Center Inc. in Woodbridge - Optometrist
Lake Ridge Vision Center Inc. - NPI 1285807404
Lake Ridge Vision Center Inc. is a Optometrist in Woodbridge, Virginia. Lake Ridge Vision Center Inc. practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Lake Ridge Vision Center Inc. is 1285807404. The last update date is 2018-06-21.
Lake Ridge Vision Center Inc.'s current location address is 12444 Dillingham Sq, Woodbridge, Virginia. You can contact this provider via phone number 7036804323 and fax number 7036804358. The mailing address for Lake Ridge Vision Center Inc. is 12444 Dillingham Sq, Woodbridge, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Ridge Vision Center Inc. |
|---|---|
| Address | 12444 Dillingham Sq, Woodbridge, Virginia |
| Phone Number | 7036804323 |
| Fax Number | 7036804358 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPTOMETRIS |
|---|---|
| Authorized Official Name | Jablonski Anthony Richard |
| Credentials | O.D. |
| Telephone Number | 7036804323 |
NPI Number Detail
| NPI Number | 1285807404 |
|---|---|
| Provider Enumeration Date | 2008-04-09 |
| Last Updated Date | 2018-06-21 |
Provider Mailing Address Detail
| Address | 12444 Dillingham Sq |
|---|---|
| City | Woodbridge |
| State | Virginia (VA) |
| Post Code | 221925258 |
| Phone Number | 7036804323 |
| Fax Number | 7036804358 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
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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 |
|---|---|---|---|
| CO2323 | VA | PTAN | |
| 5383-0000 | VA | CARE FIRST BCBS | |
| 1729424 | VA | AETNA HMO | |
| 343378 | VA | ANTHEM BLUE CROSS BLUE SH | |
| 5946431 | VA | AETNA PPO |
Post Comment/ Review Below
What is the Lake Ridge Vision Center Inc.'s 1285807404?
The Lake Ridge Vision Center Inc.'s NPI (National Provider Identifier) Number is 1285807404. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lake Ridge Vision Center Inc.'s facilities are geographically located?
The facilities of Lake Ridge Vision Center Inc. are physically situated at the following location: 12444 Dillingham Sq, Woodbridge, VA, 221925258.
What is Lake Ridge Vision Center Inc.'s area of expertise and its corresponding taxonomy classification?
The Lake Ridge Vision Center Inc.'s field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
When did Lake Ridge Vision Center Inc. receive its 1285807404 assignment?
The Lake Ridge Vision Center Inc. was assigned its 1285807404 on 2008-04-09, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Lake Ridge Vision Center Inc. last refreshed?
The information related to the Lake Ridge Vision Center Inc., including its address, specialty, and other relevant details, was last updated on 2018-06-21.