Provider Demographics
NPI:1801889530
Name:FOLEY, GREGORY D (OD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:D
Last Name:FOLEY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
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 1:635 PENNSYLVANIA AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4303
Practice Address - Country:US
Practice Address - Phone:202-546-2838
Practice Address - Fax:202-543-3033
Is Sole Proprietor?:No
Enumeration Date:2005-08-29
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000479152W00000X
DCOP1000121152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0927KOtherBLUE CROSS
NC1247262002OtherCIGNA
NC27723OtherPARTNERS
DC136250ZBH2OtherMEDICARE GROUP MEMBER PTAN
NC890927KMedicaid
NC27723OtherPARTNERS
NC2468639BMedicare ID - Type Unspecified