Provider Demographics
NPI:1275695637
Name:SHEIKH, OSMAN Y (LICENSED OPTICIAN)
Entity Type:Individual
Prefix:MR
First Name:OSMAN
Middle Name:Y
Last Name:SHEIKH
Suffix:
Gender:M
Credentials:LICENSED OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6399 LITTLE RIVER TPKE STE 203
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-5093
Mailing Address - Country:US
Mailing Address - Phone:703-354-4455
Mailing Address - Fax:703-354-4455
Practice Address - Street 1:6399 LITTLE RIVER TPKE STE 203
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-5093
Practice Address - Country:US
Practice Address - Phone:703-354-4455
Practice Address - Fax:703-354-4455
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1101003163156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician