Provider Demographics
NPI:1851567440
Name:FILIPOWSKI, RICHARD LEO (OD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LEO
Last Name:FILIPOWSKI
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:6575 FRONTIER DR
Mailing Address - Street 2:SUITE N
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-1415
Mailing Address - Country:US
Mailing Address - Phone:703-971-7722
Mailing Address - Fax:703-313-8289
Practice Address - Street 1:6575 FRONTIER DR
Practice Address - Street 2:SUITE N
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-1415
Practice Address - Country:US
Practice Address - Phone:703-971-7722
Practice Address - Fax:703-313-8289
Is Sole Proprietor?:No
Enumeration Date:2008-05-02
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0618000045152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U05269Medicare UPIN