Dr. Dustin Colt Briscoe, O.D.
Optometrist in Woodbridge, VA. Individual provider (NPI-1).
NPI number1407230774
StatusActive
Last updated in NPPESNov 16, 2023
Details
- NPI
- 1407230774
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dustin Colt Briscoe
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2015
- Certification date
- Nov 16, 2023
- Last updated
- Nov 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 0618003275 | VA | Yes |
| 152W00000X | Optometrist | 4901005020 | MI | |
| 152W00000X | Optometrist | 3186 | TN | |
| 152W00000X | Optometrist | OEG004046 | PA | |
| 152W00000X | Optometrist | NA2947 | MD |
Practice location
14465 Potomac Mills RdWoodbridge, VA 22192-6807
Phone 703-494-6184 · Fax 703-499-9744
Mailing address
8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442
Phone 703-847-8899 · Fax 571-223-6780
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