DR. LESLIE C ELLWOOD


Address: 12784 Fox Keep Run, Fairfax, VA 22033-2233
Phone: 7038171030

DR. LESLIE C ELLWOOD (NPI# 1992877450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992877450
Entity Type Individual
Full Name DR. LESLIE C ELLWOOD
Other Name DR. LESLIE ELLWOOD
Credential MD
Practice Address 12784 Fox Keep Run
Fairfax
VA 22033-2233
Practice Telephone 7038171030
Practice Fax Number 7039954508
Mailing Telephone 7038171030
Mailing Fax Number 7039954508
Enumeration Date 2006-11-13
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152WP0200X Optometrist
Specialization: Pediatrics
0101025766 VA Eye and Vision Services Providers

Office Location

Street Address 12784 FOX KEEP RUN
City FAIRFAX
State VA
Zip Code 22033-2233

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1366074320 Han S Yoo Pharmacist 12200 West Ox Road, Fairfax, VA 22033 2020-02-07
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1013360940 Kellyn Patricia Dodd Nurse Practitioner 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 2016-07-15
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1912321910 Alyson Huber Nurse Anesthetist, Certified Registered 3600 Joseph Siewick Dr., Fairfax, VA 22033 2014-02-11
1578999314 Aiatulah Surmaty Optometrist 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 2013-09-25
1356780928 Ayatallah M. Khafagy Obstetrics & Gynecology 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 2013-06-17
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Taxonomy Information

Taxonomy Code 152WP0200X
Grouping Eye and Vision Services Providers
Classification Optometrist
Specialization Pediatrics

Taxonomy Definition

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
Notes: Source: American Optometric Association [1/1/2009: added definition, added source]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659926715 Conexus Optometrist 11618 Busy St, North Chesterfield, VA 23236-4060 2019-08-06
1164839601 Ihab Massad Optometrist 5597 Seminary Rd Apt 2417s, Falls Church, VA 22041-2923 2014-07-16
1265660575 Jennifer W Sun Optometrist 55 Catoctin Cir Ne Ste A, Leesburg, VA 20176-3106 2009-06-25
1659490142 Diana J Slavin Optometrist 3910 Centreville Rd Ste 100, Chantilly, VA 20151-3280 2007-03-28
1154980209 Adrian Kun Optometrist 4665 South Blvd, Virginia Beach, VA 23452-1055 2019-06-12
1992188114 Kelsey Deitz Guth Optometrist 5273 John Tyler Hwy, Williamsburg, VA 23185-2553 2015-07-07
1114192580 Aaron Figler, O.d., & Associates, P.C. Optometrist 14904 Jefferson Davis Hwy, Ste 308, Woodbridge, VA 22191-3908 2008-04-28
1801069810 Nguyen Vision Inc Optometrist 6849 Old Dominion Dr, Suite 300, Mc Lean, VA 22101-3724 2008-04-10
1174681092 Marshall Leroy Upshur Optometrist 14139 Potomac Mills Road, Woodbridge, VA 22192-4644 2006-12-04
1366510786 Leticia Khu Oswald Optometrist 201 North Washington Street, Falls Church, VA 22046-4518 2006-12-01
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Competitor

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City FAIRFAX
Zip Code 22033

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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