Provider Demographics
NPI:1851325146
Name:STONE, ANDREW L (OD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:L
Last Name:STONE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5932 LAKE SUNSET LANE
Mailing Address - Street 2:
Mailing Address - City:HUME
Mailing Address - State:VA
Mailing Address - Zip Code:22639
Mailing Address - Country:US
Mailing Address - Phone:540-687-3634
Mailing Address - Fax:540-687-3378
Practice Address - Street 1:#4 PENDLETON ST
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:VA
Practice Address - Zip Code:20118
Practice Address - Country:US
Practice Address - Phone:540-687-3634
Practice Address - Fax:540-687-3378
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000239152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0694647OtherAETNA HMO
VA320412OtherALLIANCE
VA412947OtherUNITED HEALTHCARE
VA92-31919Medicaid
VA192988OtherBLUE CROSS BLUE SHEILD
VA320412OtherMAMSI
VA412947OtherUNITED HEALTHCARE
VA412947OtherUNITED HEALTHCARE
VA0694647OtherAETNA HMO