Michael Jeffrey Davidson, OD | |
8350 Traford Ln, Springfield, VA 22152-1638 | |
(703) 569-6363 | |
(703) 569-3536 |
Full Name | Michael Jeffrey Davidson |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 8350 Traford Ln, Springfield, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316901499 | NPI | - | NPPES |
9233512 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 0618000035 (Virginia) | Primary |
Provider Name | Michael J. Davidson, O.d., P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124190251 PECOS PAC ID: 4688607096 Enrollment ID: O20050915001055 |
Mailing Address | Practice Location Address |
---|---|
Michael Jeffrey Davidson, OD 8350 Traford Ln, Springfield, VA 22152-1638 Ph: (703) 569-6363 | Michael Jeffrey Davidson, OD 8350 Traford Ln, Springfield, VA 22152-1638 Ph: (703) 569-6363 |
Grace Chang, Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6575n Frontier Dr, Springfield, VA 22150 Phone: 703-971-7722 Fax: 703-971-1724 | |
Vincent Bertomeu, Od, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6506 Loisdale Rd, Ste 102, Springfield, VA 22150 Phone: 703-719-9110 Fax: 703-719-9040 | |
Dr. Nava Ezra, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6501 Loisdale Court, Springfield, VA 22150 Phone: 703-922-1000 | |
Dr. Jeannette Lucille Liu, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6701 Loisdale Rd, Suite S, Springfield, VA 22150 Phone: 703-719-5455 | |
Minh-tam Nguyen, Optometrist Medicare: Medicare Enrolled Practice Location: 8424 Old Keene Mill Rd, Springfield, VA 22152 Phone: 703-569-6611 | |
My Eye Dr. Optometrist Medicare: Medicare Enrolled Practice Location: 6406 Springfield Plz, Springfield, VA 22150 Phone: 703-451-4577 Fax: 703-451-8549 | |
Michael J. Davidson, O.d., P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 8350 Traford Ln, Fl 2, Springfield, VA 22152 Phone: 703-569-6363 |