Provider Demographics
NPI:1811965981
Name:NAJAFI, LEYLA (OD)
Entity type:Individual
Prefix:MRS
First Name:LEYLA
Middle Name:
Last Name:NAJAFI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MRS
Other - First Name:LILY
Other - Middle Name:
Other - Last Name:NADJAFI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:19415 DEERFIELD AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:LANSDOWNE
Mailing Address - State:VA
Mailing Address - Zip Code:20176-8470
Mailing Address - Country:US
Mailing Address - Phone:703-723-9633
Mailing Address - Fax:703-723-9772
Practice Address - Street 1:19415 DEERFIELD AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176-8470
Practice Address - Country:US
Practice Address - Phone:703-723-9633
Practice Address - Fax:703-723-9772
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001468152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAV06541Medicare UPIN
V06541Medicare UPIN