Kiessling, Douglas

Kiessling, Douglas is an individual health care provider with primary practice located at 14139 Potomac Mills Road , Woodbridge VA 20192-4644. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kiessling, Douglas can be contacted via phone (703) 490-7606.

Contact Information

Primary practice address
14139 Potomac Mills Road Woodbridge VA 20192-4644
Phone: (703) 490-7606
Fax: (703) 490-7824
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618000219 Virginia
Eye and Vision Services Providers / Optometrist 152W00000X 0601000665 Virginia
Eye and Vision Services Providers / Optometrist 152W00000X OP399 District of Columbia

Profile Details

NPI number 1366503708
LBN Legal business name Kiessling, Douglas
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jul 8th, 2007 - about 17 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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