Provider Demographics
NPI:1992927818
Name:WASHINGTON, CHONDA (OD)
Entity type:Individual
Prefix:DR
First Name:CHONDA
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:15235 JOHN J DELANEY DR STE H
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-2959
Practice Address - Country:US
Practice Address - Phone:704-752-1744
Practice Address - Fax:704-752-1844
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2023-11-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2139152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist