OPHTHALMOPATHY EYE CLINIC, LLC


Address: 2110 C Gallows Rd, Suite # 2, Vienna, VA 22182-3962
Phone: 7039180020

OPHTHALMOPATHY EYE CLINIC, LLC (NPI# 1871734665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871734665
Entity Type Organization
Organization Name OPHTHALMOPATHY EYE CLINIC, LLC
Practice Address 2110 C Gallows Rd
Suite # 2
Vienna
VA 22182-3962
Practice Telephone 7039180020
Practice Fax Number 7039180026
Mailing Telephone 7039180020
Mailing Fax Number 7039180026
Enumeration Date 2009-03-09
Last Update Date 2010-01-14
Authorized Official Name DR. ARMIN NAMAZIZADEH (OWNER/ MEDICAL DIRECTOR)
Authorized Official Telephone 7039180020
Authorized Official Credential O.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
0618001615 VA Ambulatory Health Care Facilities

Office Location

Street Address 2110 C GALLOWS RD
SUITE # 2
City VIENNA
State VA
Zip Code 22182-3962

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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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1861705972 Joyce P. Hair, M.d. Ltd. Clinic/Center 307 Maple Ave W, Suite C, Vienna, VA 22180-4307 2010-07-18
1396915138 A. Larry Miller, Md Ltd Clinic/Center 311 Maple Ave W, Suite H, Vienna, VA 22180-4309 2008-03-07
1730281205 Nita Sumida, M.d., P.l.l.c. Clinic/Center 8320 Old Courthouse Rd, Suite 100, Vienna, VA 22182-3831 2006-09-03

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Competitor

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City VIENNA
Zip Code 22182

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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