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General NPI Number Information
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NPI Number | 1538413471
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Entity Type | Organization
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Legal Business Name | WOODBRIDGE OPTOMETRISTS, LLC
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Dates
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Enumeration Date | 10/30/2012
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 14901 POTOMAC TOWN PL SUITE 120
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City | WOODBRIDGE
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State | VA
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Zip | 22191-4096
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Country | US
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Telephone | 703-680-7850
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Fax | 703-680-7852
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Provider Business Mailing Address
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Address Line | 14901 POTOMAC TOWN PL STE 120
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City | WOODBRIDGE
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State | VA
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Zip | 22191-4096
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Country | US
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Telephone | 703-680-7850
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Fax | 703-680-7852
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Authorized Official
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Title or Position | OWNER
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Name | ASHISH CHHITWAL
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Credential | OD
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Telephone | 703-273-6323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618001244
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License Number State | VA
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