Healthcare Provider Details

I. General information

NPI: 1407697907
Provider Name (Legal Business Name): TERESA MARIE LOKANT OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2024
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 CEDAR CREEK GRADE STE 100
WINCHESTER VA
22601-7100
US

IV. Provider business mailing address

905 CEDAR CREEK GRADE STE 100
WINCHESTER VA
22601-7100
US

V. Phone/Fax

Practice location:
  • Phone: 540-665-0541
  • Fax: 540-665-8286
Mailing address:
  • Phone: 540-665-0541
  • Fax: 540-665-8286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT.007288
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3042-IOD
License Number StateWV
# 3
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0618003557
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: