Provider Demographics
NPI:1437144136
Name:LUMPKIN, DONALD W JR (OD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:W
Last Name:LUMPKIN
Suffix:JR
Gender:M
Credentials:OD
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Mailing Address - Street 1:4600 COX RD
Mailing Address - Street 2:STE 120
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-6753
Mailing Address - Country:US
Mailing Address - Phone:804-270-0330
Mailing Address - Fax:804-270-1003
Practice Address - Street 1:4600 COX RD
Practice Address - Street 2:STE 120
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-6753
Practice Address - Country:US
Practice Address - Phone:804-270-0330
Practice Address - Fax:804-270-1003
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2024-04-09
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Provider Licenses
StateLicense IDTaxonomies
VA618001059152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0699610001OtherDMERC-ADMINISTAR FEDERAL
VA009236899Medicaid
VI410048512OtherRAILROAD MEDICARE