Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PEYAM MOJALLAL, OD
ActiveDR. PEYAM MOJALLAL, OD is a Low Vision Rehabilitation Optometrist healthcare provider located in ASHBURN, Virginia. NPI 1154378511 is currently active in the NPPES registry. Verify at CMS.
Low Vision Rehabilitation Optometrist · ASHBURN, VA
Registration Details
- NPI Number
- 1154378511
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2006 (20.24222959853 yrs)
- Last Updated
- Dec 6, 2007
- Licenses
-
0618001051 (VA)0618001051 (VA)
Practice Information
- Address
-
20600 GORDON PARK SQSUITE 150ASHBURN, VA, 201473145Browse VA providers · Browse ZIP 20147
- Phone
- 7037233433
- Fax
- 7037231920
- Primary Specialty
-
Low Vision Rehabilitation Optometrist
152WL0500X
- Additional Specialty
- Low Vision Rehabilitation Optometrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.