Basic Information
| Provider Information | |||||||||
| NPI: | 1871607069 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PARRISH | ||||||||
| FirstName: | ALISON | ||||||||
| MiddleName: | ELIZABETH | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | O.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15055 KNICKERBOCKER DR | ||||||||
| Address2: | |||||||||
| City: | WOODBRIDGE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 221931891 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2029043260 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 6756 RICHMOND HWY | ||||||||
| Address2: | |||||||||
| City: | ALEXANDRIA | ||||||||
| State: | VA | ||||||||
| PostalCode: | 223066701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7037681677 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/18/2006 | ||||||||
| LastUpdateDate: | 02/07/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | 0618001704 | VA | Y | Eye and Vision Services Providers | Optometrist | 152W00000X | 3147T | OR | N | Eye and Vision Services Providers | Optometrist |
No ID Information.