Individual
STACY MARIE JAFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
42015 VILLAGE PLZ, STE 103, STONE RIDGE, VA 20105
(703) 542-8888
(703) 542-8856
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002441
VA
Other
Enumeration date
11/04/2015
Last updated
12/20/2021
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