Organization
YOUREYEDOCTOR P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDANA NASIRI MANESH OD (DOCOTOR OF OPTOMETRY OD, OWNER)
(703) 663-4290
Entity
Organization
Contact information
Practice address
43330 JUNCTION PLZ STE 120, ASHBURN, VA 20147-3407
(703) 663-4290
(888) 920-2640
Mailing address
43330 JUNCTION PLZ STE 120, ASHBURN, VA 20147-3407
(703) 663-4290
(888) 920-2640
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30017436940001
—
VA
Enumeration date
03/03/2022
Last updated
09/27/2022
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