Provider Demographics
NPI:1538265756
Name:MCGARRY, CINDY M (OD)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:M
Last Name:MCGARRY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13841 HULL STREET ROAD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-2506
Mailing Address - Country:US
Mailing Address - Phone:804-739-7000
Mailing Address - Fax:804-739-7589
Practice Address - Street 1:13841 HULL STREET ROAD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-2506
Practice Address - Country:US
Practice Address - Phone:804-739-7000
Practice Address - Fax:804-739-7589
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0601001825152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
410028622OtherRR MEDICARE
VA040368OtherANTHEM
VA2200140OtherUHC
U30154Medicare UPIN
VA2200140OtherUHC