Provider Demographics
NPI:1972271708
Name:ABDUL-ALI, FARZANA (OD)
Entity Type:Individual
Prefix:DR
First Name:FARZANA
Middle Name:
Last Name:ABDUL-ALI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:FARZANA
Other - Middle Name:
Other - Last Name:ABDUL-ALI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:4 N PENDLETON ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20117-2681
Mailing Address - Country:US
Mailing Address - Phone:540-687-3634
Mailing Address - Fax:540-687-3378
Practice Address - Street 1:4 N PENDLETON ST
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:VA
Practice Address - Zip Code:20117-2681
Practice Address - Country:US
Practice Address - Phone:540-687-3634
Practice Address - Fax:540-687-3378
Is Sole Proprietor?:No
Enumeration Date:2021-09-07
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618003072152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist