MEDICARE: DR. CRAIG DOUGLAS PERRY O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	0618001440	VA

General Provider Information

NPI Number	:	1063567816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRAIG DOUGLAS PERRY O.D.

Provider Business Mailing Address
First Line	:	8614 WESTWOOD CENTER DR FL 9
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-2442
Country	:	US
Telephone Number	:	703-847-8899
Fax Number	:	571-223-6780

Provider Business Practice Location Address
First Line	:	601 N COURTHOUSE RD STE 2
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-4062
Country	:	US
Telephone Number	:	804-858-2020
Fax Number	:	804-423-9090

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	11/14/2025

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