DR. Richard Michael Davidson, O.D.

NPI #1003956673 in Mc Lean, Virginia

Provider Information

NPI Number: 1003956673
Entity Type: Individual
Name: DR. Richard Michael Davidson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 6, 2007
Last Updated: Jun 28, 2012

Practice Location

Address: 8025 TYSONS CORNER CTR
City: Mc Lean
State: Virginia
ZIP Code: 22102-4525
Phone: (703) 893-6586

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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