Provider Demographics
NPI:1083888333
Name:GAGE, MARSHA C (OD)
Entity Type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:C
Last Name:GAGE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MRS
Other - First Name:MARSHA
Other - Middle Name:C
Other - Last Name:FRANK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:18063 TAYLOR RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:VA
Mailing Address - Zip Code:20158-3543
Mailing Address - Country:US
Mailing Address - Phone:703-946-0517
Mailing Address - Fax:540-751-0887
Practice Address - Street 1:1200 EDWARDS FERRY RD NE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-3318
Practice Address - Country:US
Practice Address - Phone:709-946-0517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000384152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management