Organization
DULLES EYE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABU AHMED NASRULLAH MD (OWNER)
(703) 723-9633
Entity
Organization
Contact information
Practice address
19415 DEERFIELD AVE, STE 106, LANSDOWNE, VA 20176-8452
(703) 723-9633
(703) 723-9772
Mailing address
19415 DEERFIELD AVE, STE 106, LANSDOWNE, VA 20176-8452
(703) 723-9633
(703) 723-9772
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
0101232401
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14619
ANTHEM
VA
01
—
2112890
UNITED HEALTH CARE
VA
05
—
6310532
—
VA
01
—
68480001
CAREFIRST
DC
01
—
G8480001
CAREFIRST
DC
01
—
P0004567
RAILROAD MEDICARE
VA
Enumeration date
03/22/2006
Last updated
08/08/2025
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