Individual
NEDA FARAHMAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7367 ATLAS WALK WAY, GAINESVILLE, VA 20155-2992
(703) 753-7200
(703) 753-7661
Mailing address
1950 OLD GALLOWS RD, STE. 100, VIENNA, VA 22182-3990
(703) 847-8899
(703) 847-5177
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001573
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10313295
—
VA
01
—
11609701
CAQH NUMBER
—
Enumeration date
07/21/2006
Last updated
01/26/2018
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