DR. PEYAM MOJALLAL (NPI# 1154378511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154378511 |
| Entity Type | Individual |
| Full Name | DR. PEYAM MOJALLAL |
| Credential | OD |
| Practice Address |
20600 Gordon Park Sq Suite 150 Ashburn VA 20147-3145 |
| Practice Telephone | 7037233433 |
| Practice Fax Number | 7037231920 |
| Mailing Telephone | 7037233433 |
| Mailing Fax Number | 7037231920 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2007-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 0618001051 | VA | Eye and Vision Services Providers |
| Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
0618001051 | VA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 9236805 | 05 |
| Street Address |
20600 GORDON PARK SQ SUITE 150 |
| City | ASHBURN |
| State | VA |
| Zip Code | 20147-3145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518359710 | Ann N Hebda | Dentist | 20600 Gordon Park Sq, Suite 190, Ashburn, VA 20147-3145 | 2015-02-24 |
| 1891029526 | Amit B. Patel, Dds, PC | Clinic/Center | 20600 Gordon Park Sq, Suite 110, Ashburn, VA 20147-3145 | 2009-09-29 |
| 1306006739 | Amit Babubhai Patel | Dentist | 20600 Gordon Park Sq, Suite 110, Ashburn, VA 20147-3145 | 2008-06-10 |
| 1891813648 | Tsaknis Dental & Associates | Dentist | 20600 Gordon Park Sq, Suite 110, Ashburn, VA 20147-3145 | 2007-03-27 |
| 1679615009 | Peyam Mojallal Od and Associates | Optometrist | 20600 Gordon Park Sq, Suite 150, Ashburn, VA 20147-3145 | 2007-02-13 |
| 1871634675 | Acuity Vision Care PC | Optometrist | 20600 Gordon Park Sq, Suite 150, Ashburn, VA 20147-3145 | 2007-02-12 |
| 1619992336 | Ashburn Family Healthcare, Pllc | Clinic/Center | 20600 Gordon Park Sq, Ste 130, Ashburn, VA 20147-3145 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
| 1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
| 1164065967 | Dorsa Salehi | Behavior Technician | 44933 George Washing Blvd, Suite 115, Ashburn, VA 20147 | 2019-10-24 |
| 1659837094 | Sandrine Shanghai | Case Management | 44933 George Washington Parkway, Suite 110, Ashburn, VA 20147 | 2019-02-11 |
| 1033684154 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 44835 Russel Branch Parkway, Ashburn, VA 20147 | 2018-10-04 |
| 1417437203 | Roshni A Patel | Optometrist | 44050 Ashburn Village Blvd, Suite 163, Ashburn, VA 20147 | 2018-08-21 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1033608542 | Justin Leeman | Physical Therapist | 21625 Red Rum Dr, Ashburn, VA 20147 | 2018-05-09 |
| 1255860680 | Aperiomics, Inc. | Clinical Medical Laboratory | 45085 University Dr, Ste 305, Ashburn, VA 20147 | 2017-06-08 |
| 1427591643 | Monecia Michelle Nelms | Counselor | 20925 Professional Plaza, Suite #320, Ashburn, VA 20147 | 2016-11-19 |
| Find all providers in zip 20147 | ||||
| Taxonomy Code | 152WL0500X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Low Vision Rehabilitation |
| Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811371412 | Stephanie Chen | Optometrist | 105 South Alfred Street, Alexandria, VA 22314 | 2015-07-13 |
| 1467623553 | Richmond Eye & Ear Health Care | Optometrist | 8700 Stony Point Pkwy Ste 100, Richmond, VA 23235-1968 | 2008-03-17 |
| 1225100399 | Robert E Titcomb Od PC | Optometrist | 1020 Independence Blvd, Suite 307, Haygood Medical Center, Virginia Beach, VA 23455-5543 | 2006-11-14 |
| 1306019930 | Low Vision Services Plc | Optometrist | 2227 Woodford Rd, Vienna, VA 22182-5084 | 2008-04-03 |
Please comment or provide details below to improve the information on DR. PEYAM MOJALLAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.