Provider Demographics
NPI:1811973134
Name:VUGIA, CATHERINE S (OD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:S
Last Name:VUGIA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:S
Other - Last Name:BERWALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:6231 LEESBURG PIKE
Mailing Address - Street 2:#608
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2102
Mailing Address - Country:US
Mailing Address - Phone:703-534-3900
Mailing Address - Fax:703-536-3729
Practice Address - Street 1:6231 LEESBURG PIKE
Practice Address - Street 2:#608
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2102
Practice Address - Country:US
Practice Address - Phone:703-534-3900
Practice Address - Fax:703-536-3729
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000309152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U51721Medicare UPIN