Organization
OPHTHALMOPATHY EYE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARMIN NAMAZIZADEH O.D. (OWNER/ MEDICAL DIRECTOR)
(703) 918-0020
Entity
Organization
Contact information
Practice address
2110 C GALLOWS RD, SUITE # 2, VIENNA, VA 22182-3962
(703) 918-0020
(703) 918-0026
Mailing address
2110 C GALLOWS RD, SUITE # 2, VIENNA, VA 22182-3962
(703) 918-0020
(703) 918-0026
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
0618001615
VA
Other
Enumeration date
03/09/2009
Last updated
01/14/2010
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