# OPHTHALMOPATHY EYE CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871734665
- **Authorized official:** DR. ARMIN NAMAZIZADEH O.D. (OWNER/ MEDICAL DIRECTOR)
- **Authorized official phone:** (703) 918-0020

## Contact information

- **Practice address:** 2110 C GALLOWS RD, SUITE \# 2, VIENNA, VA 22182-3962
- **Practice address phone:** (703) 918-0020
- **Practice address fax:** (703) 918-0026
- **Mailing address:** 2110 C GALLOWS RD, SUITE \# 2, VIENNA, VA 22182-3962
- **Mailing address phone:** (703) 918-0020
- **Mailing address fax:** (703) 918-0026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 0618001615 | VA | Yes |

## Other

- **Enumeration date:** 03/09/2009
- **Last updated:** 01/14/2010