Individual
DR. RICHARD A. JABLONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12444 DILLINGHAM SQ, WOODBRIDGE, VA 22192-5258
(703) 680-4323
(703) 680-4358
Mailing address
12444 DILLINGHAM SQ, WOODBRIDGE, VA 22192-5258
(703) 680-4323
(703) 680-4358
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
0618000066
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031112
BLUE CROSS BLUE SHIELD
VA
01
—
2129817
AETNA HMO
VA
01
—
311873
UNITED HEALTHYCARE/OPT CH
VA
01
—
4461542
AETNA PPO
VA
01
—
54-1330725
TRICARE
VA
Enumeration date
04/01/2006
Last updated
11/05/2007
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