Individual
DR. WILLIAM REID MOUGHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
19415 DEERFIELD AVE, SUITE 106, LANSDOWNE, VA 20176-8452
(703) 723-9633
(703) 723-9772
Mailing address
19415 DEERFIELD AVE, SUITE 106, LANSDOWNE, VA 20176-8452
(703) 723-9633
(703) 723-9772
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002502
VA
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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