NPI 1003956673

Richard Michael Davidson, OD

Practitioner Optometrist Mc Lean, VA

Practice location

Address: 8025 Tysons Corner Ctr, Mc Lean, VA 22102-4525
Phone: (703) 893-6586
Fax: (703) 893-9379

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 0618001827 (VA)

Other Optometrist providers in Virginia →

Registry record

NPI: 1003956673
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Feb 2007
Record last updated: 28 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.