Provider Demographics
NPI:1831853563
Name:NAIK, JODI MCKITTRICK (OD)
Entity type:Individual
Prefix:DR
First Name:JODI
Middle Name:MCKITTRICK
Last Name:NAIK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:129 E FERRELL ST
Practice Address - Street 2:
Practice Address - City:SOUTH HILL
Practice Address - State:VA
Practice Address - Zip Code:23970-2101
Practice Address - Country:US
Practice Address - Phone:434-447-3220
Practice Address - Fax:434-447-2309
Is Sole Proprietor?:No
Enumeration Date:2021-10-28
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0618003081152W00000X
FLTPOP156152W00000X
MN3884152W00000X
MDTA3045152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist