Provider Demographics
NPI:1265467419
Name:TUFTS, DAVID AARON (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:AARON
Last Name:TUFTS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 CEDAR CREEK GRADE
Mailing Address - Street 2:SUITE 114
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-6452
Mailing Address - Country:US
Mailing Address - Phone:540-662-0222
Mailing Address - Fax:540-662-9365
Practice Address - Street 1:650 CEDAR CREEK GRADE
Practice Address - Street 2:SUITE 114
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-6452
Practice Address - Country:US
Practice Address - Phone:540-662-0222
Practice Address - Fax:540-662-9365
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000478152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA214304OtherBLUE CROSS BLUE SHIELD
VA009230530Medicaid
VA436336OtherMAMSI
VA009230530Medicaid
VA00X673D01Medicare PIN
VAU52605Medicare UPIN