Individual
MISS MICHELLE MOINIFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
24570 DULLES LANDING DR UNIT 170, STERLING, VA 20166-2623
(571) 367-7610
(571) 367-7620
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618003351
VA
152W00000X
Optometrist
14818
CA
152W00000X
Optometrist
OP1000274
DC
Other
Enumeration date
01/18/2014
Last updated
03/07/2024
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