Individual
DR. ALEXANDRIA A STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618002690
VA
152W00000X
Optometrist
Primary
OPT.0003432
CO
152W00000X
Optometrist
OPT003117
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649767492
—
CO
01
—
OPT.0003432
CO OPTOMETRY LICENSE
CO
Enumeration date
04/17/2018
Last updated
06/12/2019
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