Individual
MR. DONALD S WIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
7771 ASHTON AVE, MANASSAS, VA 20109-2879
(571) 393-1443
(571) 406-5043
Mailing address
8116 BETHLEHEM RD, MANASSAS, VA 20109-2704
(302) 384-3216
(571) 406-5043
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101003676
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DWIGGS7771
—
VA
Enumeration date
02/10/2016
Last updated
02/10/2016
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