Healthcare Provider Details
I. General information
NPI: 1114192580
Provider Name (Legal Business Name): AARON FIGLER, O.D., & ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/28/2008
Last Update Date: 02/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14904 JEFFERSON DAVIS HWY STE 308
WOODBRIDGE VA
22191-3908
US
IV. Provider business mailing address
14904 JEFFERSON DAVIS HWY STE 308
WOODBRIDGE VA
22191-3908
US
V. Phone/Fax
- Phone: 703-494-3937
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 152WP0200X |
| Taxonomy | Pediatric Optometrist |
| License Number | VA0618001116 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 152WS0006X |
| Taxonomy | Sports Vision Optometrist |
| License Number | VA0618001116 |
| License Number State | VA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | VA0618001116 |
| License Number State | VA |
VIII. Authorized Official
Name: DR.
AARON
J
FIGLER
Title or Position: OPTOMETRIST
Credential: O.D.
Phone: 703-494-3937