Provider Demographics
NPI:1275897910
Name:ESLAMI, ARASH (OD)
Entity Type:Individual
Prefix:DR
First Name:ARASH
Middle Name:
Last Name:ESLAMI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1922 204TH ST SW
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-7027
Mailing Address - Country:US
Mailing Address - Phone:425-309-7084
Mailing Address - Fax:425-309-7083
Practice Address - Street 1:6320 EVERGREEN WAY
Practice Address - Street 2:STE 206A
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-4560
Practice Address - Country:US
Practice Address - Phone:425-309-7084
Practice Address - Fax:425-309-7083
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-27
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60351117152WV0400X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy