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Contact Information

DAVID R GORE, OD
6727 LEA BERRY WAY
HAYMARKET, VA20169-2991
 Phone: 703-753-6633
 Fax: 703-753-6655
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DAVID R GORE · (Male)

NPI Number 1245435387
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/19/2007
Last updated 01/28/2015 - More than a year ago
Sole proprietor 1 Yes
Identifiers
VA License # 0601002328
VA Medicare (Unspecified) 410001282
VA Medicare UPIN U84129
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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