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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS SHAYESTEH MARYAM IZADDOOST, O.D.

Active

MISS SHAYESTEH MARYAM IZADDOOST, O.D. is a Optometrist healthcare provider located in FORT GEORGE G MEADE, Maryland. NPI 1396875910 is currently active in the NPPES registry. Verify at CMS.

Optometrist · FORT GEORGE G MEADE, MD

Registration Details

NPI Number
1396875910
Provider Type
Individual
Gender
Female
NPI Issued
Mar 6, 2007 (19.433066215197 yrs)
Last Updated
Aug 25, 2022
Licenses
0618002983 (VA)
7031TG (TX)
OPT002693 (GA)

Practice Information

Address
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD, 207557081
Browse MD providers · Browse ZIP 20755
Phone
3016778950
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist
Additional Specialty
Optometrist

Other Optometrist Providers in FORT GEORGE G MEADE, MD

Name Credential NPI
JANNA LAMBSON O.D. 1023425907
ANNA ZHANG OD 1487272811
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.