Provider Demographics
NPI:1689729451
Name:NAMAZIZADEH, ARMIN (OD, MD)
Entity Type:Individual
Prefix:DR
First Name:ARMIN
Middle Name:
Last Name:NAMAZIZADEH
Suffix:
Gender:M
Credentials:OD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 WAR ADMIRAL ST
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-2421
Mailing Address - Country:US
Mailing Address - Phone:703-405-8005
Mailing Address - Fax:703-921-0026
Practice Address - Street 1:2110 GALLOWS RD # C
Practice Address - Street 2:SUITE 2
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-3962
Practice Address - Country:US
Practice Address - Phone:703-918-0020
Practice Address - Fax:703-918-0026
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0618001615152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist