Provider Demographics
NPI:1427062041
Name:DOAN, SAPHO (OD)
Entity type:Individual
Prefix:DR
First Name:SAPHO
Middle Name:
Last Name:DOAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:SAPHO
Other - Middle Name:
Other - Last Name:DOAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:7263E ARLINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-3219
Mailing Address - Country:US
Mailing Address - Phone:703-573-1200
Mailing Address - Fax:703-573-1250
Practice Address - Street 1:1800 S BELL ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-3558
Practice Address - Country:US
Practice Address - Phone:703-413-1400
Practice Address - Fax:703-573-1250
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001163152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2729998OtherAETNA HMO
VA295756OtherMAMSI/MDIPA/ALLIANCE
VA460214OtherANTHEM BCBS / FALLSCHURCH
VA460213OtherANTHEM BCBS / ARLINGTON V
VA9314-0008OtherBCBS / CAREFIRST
VA009235698Medicaid
VA7834302OtherAETNA - PPO
VA007737N11Medicare ID - Type Unspecified
VA460214OtherANTHEM BCBS / FALLSCHURCH