Provider Demographics
NPI:1750810396
Name:HERZLINGER, COLUMBIA (OD)
Entity type:Individual
Prefix:DR
First Name:COLUMBIA
Middle Name:
Last Name:HERZLINGER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13320 FRANKLIN FARM RD STE H
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-4097
Mailing Address - Country:US
Mailing Address - Phone:703-481-5600
Mailing Address - Fax:703-437-4137
Practice Address - Street 1:13320 FRANKLIN FARM RD STE H
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171
Practice Address - Country:US
Practice Address - Phone:703-481-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-07
Last Update Date:2019-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618002572152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist