LAKE RIDGE VISION CENTER PLLC
NPI 1285807404
Optometrist in Woodbridge, VA

Active since April 09, 2008
12444 DILLINGHAM SQ, WOODBRIDGE, VA 22192(703) 680-4323(703) 680-4358 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Ridge Vision Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE RIDGE VISION CENTER PLLC (NPI 1285807404) is a healthcare organization registered as an optometrist in Woodbridge, Virginia and active in the NPI registry since April 2008. The organization lists Richard Anthony Jablonski, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1285807404
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLAKE RIDGE VISION CENTER PLLC
Location Address12444 DILLINGHAM SQWoodbridge, VA 22192-5258
Mailing Address12444 Dillingham SqWoodbridge, VA 22192-5258 · (703) 680-4323 · Fax (703) 680-4358
Fax(703) 680-4358
Organization SubpartNo
Authorized OfficialRichard Anthony JablonskiOptometrist · (703) 680-4323
Enumeration DateApril 9, 2008
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
NPI 1285807404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
12444 DILLINGHAM SQ, Woodbridge, VA 22192

Other Identifiers 5

OtherCO2323VA · Ptan
Other5383-0000VA · Care First Bcbs
Other1729424VA · Aetna Hmo
Other343378VA · Anthem Blue Cross Blue Sh
Other5946431VA · Aetna Ppo

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist (Corneal and Contact Management)
12444 DILLINGHAM SQ
WOODBRIDGE, VA 22192
Optometrist
12444 DILLINGHAM SQ
WOODBRIDGE, VA 22192
Optometrist
12444 DILLINGHAM SQ
WOODBRIDGE, VA 22192
Optometrist
12444 DILLINGHAM SQ
WOODBRIDGE, VA 22192
Optometrist
12444 DILLINGHAM SQ
WOODBRIDGE, VA 22192

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Ridge Vision Center PLLC's NPI number?

The NPI number for Lake Ridge Vision Center PLLC is 1285807404. It was assigned to this organization in the NPPES registry on April 9, 2008.

Where is Lake Ridge Vision Center PLLC located?

Lake Ridge Vision Center PLLC is located at 12444 Dillingham Sq, Woodbridge, VA 22192. The listed phone number is (703) 680-4323.

What is Lake Ridge Vision Center PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Lake Ridge Vision Center PLLC accept?

Health plans from BlueCross BlueShield of Tennessee list Lake Ridge Vision Center PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Ridge Vision Center PLLC was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.