NPI 1154378511

Peyam Mojallal, OD

Practitioner Low Vision Rehabilitation Optometrist Ashburn, VA

Practice location

Address: 20600 Gordon Park Sq Suite 150, Ashburn, VA 20147-3145
Phone: (703) 723-3433
Fax: (703) 723-1920

Registered specialties (2)

Low Vision Rehabilitation Optometrist Primary

Eye and Vision Services Providers Taxonomy 152WL0500X Licence 0618001051 (VA)

Other Optometrist providers in Virginia →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 0618001051 (VA)

Registry record

NPI: 1154378511
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 May 2006
Record last updated: 6 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.