Provider Demographics
NPI:1326163122
Name:SIMON, DEBRA A (OD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:A
Last Name:SIMON
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:2791 S QUEEN ST
Practice Address - Street 2:
Practice Address - City:DALLASTOWN
Practice Address - State:PA
Practice Address - Zip Code:17313-9540
Practice Address - Country:US
Practice Address - Phone:717-741-4788
Practice Address - Fax:717-741-5945
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI2861-035152W00000X
PAOEG003967152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist