Jablonski, Richard A.

Jablonski, Richard A. is an individual health care provider with primary practice located at 12444 Dillingham Sq , Woodbridge VA 22192-5258. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Jablonski, Richard A. can be contacted 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:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 0618000066 Virginia

Profile Details

NPI number 1295796712
LBN Legal business name Jablonski, Richard A.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2006
Last updated Nov 5th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295796712 NPPES
Virginia Other 4461542 AETNA PPO
Virginia Other 031112 AETNA PPO
Virginia Other 54-1330725 AETNA PPO
Virginia Other 2129817 AETNA PPO
Virginia Other 311873 AETNA PPO

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