Provider Demographics
NPI:1699409706
Name:MOHAMMADI, ROYA (OD)
Entity Type:Individual
Prefix:DR
First Name:ROYA
Middle Name:
Last Name:MOHAMMADI
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 1:7644 VOICE OF AMERICA CENTRE DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-2794
Mailing Address - Country:US
Mailing Address - Phone:513-847-7346
Mailing Address - Fax:
Practice Address - Street 1:7644 VOICE OF AMERICA CENTRE DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2794
Practice Address - Country:US
Practice Address - Phone:513-847-7346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-13
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH007088152W00000X
OHOPT.007088152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist