Individual
DR. ANNA H FAROUQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
15243 FOREST RD, STE E, FOREST, VA 24551-4974
(434) 525-2830
Mailing address
15243 FOREST RD, STE E, FOREST, VA 24551-4974
(434) 525-2830
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001805
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0618001805
STATE LICENSE
VA
01
—
3946873
MEDICARE ID
VA
Enumeration date
07/28/2006
Last updated
03/07/2023
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