Provider Demographics
NPI:1457591786
Name:NAJJAR, EDDY MOUSSA (OD)
Entity Type:Individual
Prefix:DR
First Name:EDDY
Middle Name:MOUSSA
Last Name:NAJJAR
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 1:7500 S UNIVERSITY BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-3194
Mailing Address - Country:US
Mailing Address - Phone:303-840-4440
Mailing Address - Fax:
Practice Address - Street 1:7500 S UNIVERSITY BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-3194
Practice Address - Country:US
Practice Address - Phone:303-840-4440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-26
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1971152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist