Provider Demographics
NPI:1770656167
Name:BINDAL, NEERAJ (OD)
Entity Type:Individual
Prefix:DR
First Name:NEERAJ
Middle Name:
Last Name:BINDAL
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 1:1101 S JOYCE ST
Mailing Address - Street 2:SUITE B7
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-2064
Mailing Address - Country:US
Mailing Address - Phone:703-418-2020
Mailing Address - Fax:703-418-2122
Practice Address - Street 1:1101 S JOYCE ST
Practice Address - Street 2:SUITE B7
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-2064
Practice Address - Country:US
Practice Address - Phone:703-418-2020
Practice Address - Fax:703-418-2122
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA061800909152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
G01900Medicare ID - Type Unspecified
U84511Medicare UPIN