Provider Demographics
NPI:1619661899
Name:ROJO, AMY (OD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:
Last Name:ROJO
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 1:3800 FAIRFAX DR STE 1
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1703
Mailing Address - Country:US
Mailing Address - Phone:703-522-3454
Mailing Address - Fax:
Practice Address - Street 1:3800 FAIRFAX DR STE 1
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1703
Practice Address - Country:US
Practice Address - Phone:703-522-3454
Practice Address - Fax:703-522-9636
Is Sole Proprietor?:No
Enumeration Date:2023-06-08
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618003277152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist