Richard M. Davidson, OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RICHARD M. DAVIDSON, OD PC

Practice address

8025 Tysons Corner Ctr
MC Lean, VA 22102-4525

Phone

(703) 893-6586

Fax

(703) 893-9379

NPI assigned

Jul 30, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard Michael Davidson, OD

Title

Owner

Phone

(703) 893-6586

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1700132511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 TYSONS CORNER CTR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024525",
            "telephone_number": "703-893-6586",
            "fax_number": "703-893-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 TYSONS CORNER CTR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024525",
            "telephone_number": "703-893-6586",
            "fax_number": "703-893-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M. DAVIDSON, OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-893-6586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in McLean, VA
• Providers in McLean, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.