Davidson, Michael Jeffrey

Davidson, Michael Jeffrey is an individual health care provider with primary practice located at 8350 Traford Ln , Springfield VA 22152-1638. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Davidson, Michael Jeffrey can be contacted via phone (703) 569-6363.

Contact Information

Primary practice address
8350 Traford Ln Springfield VA 22152-1638
Phone: (703) 569-6363
Fax: (703) 569-3536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618000035 Virginia

Profile Details

NPI number 1316901499
LBN Legal business name Davidson, Michael Jeffrey
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316901499 NPPES
Virginia MEDICAID 9233512

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