Organization
PATRICIA CLUBB OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA CLUBB OD, MS (OWNER)
(571) 723-8009
Entity
Organization
Contact information
Practice address
10215 CARNOCH WAY, SUITE 113, BRISTOW, VA 20136
(571) 406-5588
Mailing address
14662 BATTERY RIDGE LN, CENTREVILLE, VA 20120-2896
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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