Provider Demographics
NPI:1417967662
Name:VO, TERRI H (OD)
Entity Type:Individual
Prefix:MS
First Name:TERRI
Middle Name:H
Last Name:VO
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:9600 MAIN ST
Mailing Address - Street 2:SUITE H VISUALEYES OPTOMETRISTS PLLC
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031
Mailing Address - Country:US
Mailing Address - Phone:703-764-3937
Mailing Address - Fax:703-764-3986
Practice Address - Street 1:9600 MAIN ST
Practice Address - Street 2:SUITE H VISUALEYES OPTOMETRISTS PLLC
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031
Practice Address - Country:US
Practice Address - Phone:703-764-3937
Practice Address - Fax:703-764-3986
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0618000709152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010128471Medicaid
3644501OtherAETNA HMO
5385687OtherAETNA PPO
3644501OtherAETNA HMO
5385687OtherAETNA PPO
VA010128471Medicaid