Provider Demographics
NPI:1083197636
Name:ZEN EYECARE LLC
Entity Type:Organization
Organization Name:ZEN EYECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MOJDE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAHREMAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-780-7324
Mailing Address - Street 1:1225 FIRST ST APT 711
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-6509
Mailing Address - Country:US
Mailing Address - Phone:603-858-3403
Mailing Address - Fax:
Practice Address - Street 1:7910 RICHMOND HWY
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-7826
Practice Address - Country:US
Practice Address - Phone:703-780-7324
Practice Address - Fax:703-780-0973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center