Provider Demographics
NPI:1225654932
Name:WOLFORD, CAITLIN DAVIS (OD)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:DAVIS
Last Name:WOLFORD
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:PAIGE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:201 RACINE DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-8702
Practice Address - Country:US
Practice Address - Phone:910-395-6050
Practice Address - Fax:910-794-2222
Is Sole Proprietor?:No
Enumeration Date:2020-06-18
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCPENDING152W00000X
NC2616152W00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program