Individual
DR. DOUGLAS FLOYD WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000628
VA
152W00000X
Optometrist
TUV0050411
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151998
SOUTHERN HEALTH
VA
01
—
204999
ANTHEM
VA
01
—
224432
ANTHEM
VA
05
—
9233202
—
VA
05
—
9234292
—
VA
Enumeration date
12/12/2006
Last updated
10/25/2007
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