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Angela Davidson

Technician/Technologist, Optician in Gloucester, VA. Individual provider (NPI-1).

NPI number1750184883
StatusActive
Last updated in NPPESApr 1, 2025

Details

NPI
1750184883
Entity type
Individual (NPI-1)
Name
Mrs. Angela Davidson
Sex
Female
Sole proprietor
No
Enumeration date
Apr 1, 2025
Certification date
Apr 1, 2025
Last updated
Apr 1, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician1101004563VAYes

Practice location

6819 Waltons Ln
Gloucester, VA 23061-6113

Phone 804-693-2623

Mailing address

6819 Waltons Ln
Gloucester, VA 23061-6113

Phone 804-693-2623

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optician providers in Gloucester, VA

All 5 Optician providers in Gloucester · All 438 providers in Gloucester

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