DR. Jerry J Deola, OD
NPI #1093709594 in Woodbridge, Virginia
Provider Information
- NPI Number
- 1093709594
- Entity Type
- Individual
- Name
- DR. Jerry J Deola, OD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Sep 12, 2005
- Last Updated
- Mar 21, 2014
Practice Location
- Address
- 4460 DALE BLVD
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22193-2534
- Phone
- (703) 670-8085
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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