Healthcare Provider Details

I. General information

NPI: 1841127313
Provider Name (Legal Business Name): CANNON HOFFMAN OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7249 ARLINGTON BLVD
FALLS CHURCH VA
22042-3219
US

IV. Provider business mailing address

7249 ARLINGTON BLVD
FALLS CHURCH VA
22042-3219
US

V. Phone/Fax

Practice location:
  • Phone: 703-573-1200
  • Fax: 703-573-1250
Mailing address:
  • Phone: 703-573-1200
  • Fax: 703-573-1250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0618003634
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: