MEDICARE: DR. SAPHO DOAN OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	0618001163	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2729998	OTHER	VA	AETNA HMO
2	295756	OTHER	VA	MAMSI/MDIPA/ALLIANCE
3	460214	OTHER	VA	ANTHEM BCBS / FALLSCHURCH
4	460213	OTHER	VA	ANTHEM BCBS / ARLINGTON V
5	9314-0008	OTHER	VA	BCBS / CAREFIRST
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	7834302	OTHER	VA	AETNA - PPO

General Provider Information

NPI Number	:	1427062041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAPHO DOAN OD

Provider Business Mailing Address
First Line	:	7263E ARLINGTON BLVD
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-3219
Country	:	US
Telephone Number	:	703-573-1200
Fax Number	:	703-573-1250

Provider Business Practice Location Address
First Line	:	1800 S BELL ST
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22202-3558
Country	:	US
Telephone Number	:	703-413-1400
Fax Number	:	703-573-1250

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	11/08/2011

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Directions to “ DR. SAPHO DOAN OD” Practice Location

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