Healthcare Provider Details

I. General information

NPI: 1851515472
Provider Name (Legal Business Name): JACQUELINE D GRIFFITHS MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12110 SUNSET HILLS RD STE C50
RESTON VA
20190-5879
US

IV. Provider business mailing address

12110 SUNSET HILLS RD STE C50
RESTON VA
20190-5879
US

V. Phone/Fax

Practice location:
  • Phone: 703-834-9777
  • Fax: 703-834-8187
Mailing address:
  • Phone: 703-834-9777
  • Fax: 703-834-8187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number StateVA

VIII. Authorized Official

Name: DARREN JONES
Title or Position: CENTER DIRECTOR
Credential:
Phone: 703-834-9777