Individual
DR. JACQUELINE E POKUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6677 RICHMOND HWY, ALEXANDRIA, VA 22306-6647
(703) 535-5568
Mailing address
6677 RICHMOND HWY, ALEXANDRIA, VA 22306-6647
(703) 535-5568
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003023
PA
152WP0200X
Pediatric Optometrist
0618002276
VA
152WP0200X
Pediatric Optometrist
4941
MA
152WP0200X
Pediatric Optometrist
OP1000276
DC
152WP0200X
Pediatric Optometrist
TA2382
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0618002276
BOARD OF OPTOMETRY, LICENSE NUMBER
VA
01
—
4941
MASSACHUSETTS BOARD OF OPTOMETRY, LICENSE NUMBER
MA
01
—
OEG003023
PA LICENSE NUMBER
PA
01
—
OP1000276
BOARD OF OPTOMETRY, LICENSE NUMBER
DC
01
—
TA2382
BOARD OF EXAMINERS IN OPTOMETRY, LICENSE NUMBER
MD
Enumeration date
10/03/2012
Last updated
08/26/2022
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