Individual
MISS SHAYESTEH MARYAM IZADDOOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755-7081
(301) 677-8950
Mailing address
2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755-7081
(301) 677-8950
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618002983
VA
152W00000X
Optometrist
Primary
7031TG
TX
152W00000X
Optometrist
OPT002693
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7031TG
LICENSE (THERA GLAUC)
TX
Enumeration date
03/06/2007
Last updated
08/25/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us