Provider Demographics
NPI:1346391893
Name:NIAZI, HOMA JULIE (OD)
Entity Type:Individual
Prefix:DR
First Name:HOMA
Middle Name:JULIE
Last Name:NIAZI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13016 TAMARACK RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1543
Mailing Address - Country:US
Mailing Address - Phone:301-257-3831
Mailing Address - Fax:
Practice Address - Street 1:701 RUSSELL AVE
Practice Address - Street 2:LENSCRAFTERS, LAKEFOREST MALL
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2631
Practice Address - Country:US
Practice Address - Phone:301-963-0050
Practice Address - Fax:301-963-7773
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA1896152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist