Provider Demographics
NPI:1093701518
Name:HARRINGTON, MARGARET BARRETT (OD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:BARRETT
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:BARRETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:15 CYPRESS BRANCH WAY
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-8413
Practice Address - Country:US
Practice Address - Phone:386-445-1880
Practice Address - Fax:386-445-8796
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-20
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3081152W00000X
NYTUV007001152W00000X
TNOD0002637152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL276459OtherAVMED
FL330271721Medicaid
FL54151OtherDAVIS VISION
FLFL3081OtherEYEMED
FL276459OtherAVMED
FL54151OtherDAVIS VISION