Provider Demographics
NPI:1861455636
Name:ZELMAN, DAVID A (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:ZELMAN
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 1:2972 CHAIN BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-3000
Mailing Address - Country:US
Mailing Address - Phone:703-255-1533
Mailing Address - Fax:703-255-3377
Practice Address - Street 1:2972 CHAIN BRIDGE RD
Practice Address - Street 2:
Practice Address - City:OAKTON
Practice Address - State:VA
Practice Address - Zip Code:22124-3000
Practice Address - Country:US
Practice Address - Phone:703-255-1533
Practice Address - Fax:703-255-3377
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA601000643152W00000X
DCOP382152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0288674Medicare ID - Type Unspecified
VAU21290Medicare UPIN