Individual
DR. HERBERT NORMAN FURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
14139 POTOMAC MILLS ROAD, WOODBRIDGE, VA 20192-4644
(703) 490-7606
(703) 490-7824
Mailing address
2101 EAST JEFFERSON STREET, PPQA MEDICARE COMPLIANCE UNIT 6 WEST, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000786
VA
152W00000X
Optometrist
DA0790
MD
Other
Enumeration date
01/12/2007
Last updated
01/14/2012
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