Graves, Nancy Jane
Graves, Nancy Jane is an sole proprietor health care provider with primary practice located at 3102 Golansky Blvd Ste 101, Woodbridge VA 22192-4244. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Graves, Nancy Jane can be contacted via phone (703) 590-2888.Contact Information
Primary practice address
3102 Golansky Blvd Ste 101
Woodbridge VA 22192-4244
Phone: (703) 590-2888
Fax: (703) 590-1121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618000496 | Virginia |
Profile Details
| NPI number | 1043214836 |
|---|---|
| LBN Legal business name | Graves, Nancy Jane |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Nov 30th, 2012 - about 12 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043214836 | NPPES |
| Virginia | Other | 0937760001 | MEDICARE SUPPLIER NUMBER |
| Virginia | Other | 1477731172 | MEDICARE SUPPLIER NUMBER |
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