Lake Ridge Vision Center Pllc
LBN: Lake Ridge Vision Center Pllc
Lake Ridge Vision Center Pllc is an health care organization with primary practice located at 12444 Dillingham Sq , Woodbridge VA 22192-5258. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Lake Ridge Vision Center Pllc can be contacted via phone (703) 680-4323, or through Jablonski, Richard Anthony via phone (703) 680-4323.
Contact Information
Primary practice address
12444 Dillingham Sq
Woodbridge VA 22192-5258
Phone: (703) 680-4323
Fax: (703) 680-4358
Website:
Authorized official contact:
Name: Jablonski, Richard Anthony Doctor of Optometry (OD)
Phone: (703) 680-4323
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X |
Profile Details
| NPI number | 1285807404 |
|---|---|
| LBN Legal business name | Lake Ridge Vision Center Pllc |
| DBA Doing business as | |
| Authorized official | Jablonski, Richard Anthony Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 9th, 2008 |
| Last updated | Sep 22nd, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285807404 | NPPES |
| Virginia | Other | CO2323 | PTAN |
| Virginia | Other | 5383-0000 | PTAN |
| Virginia | Other | 1729424 | PTAN |
| Virginia | Other | 343378 | PTAN |
| Virginia | Other | 5946431 | PTAN |
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