Individual provider Active NPI

Armin Namazizadeh, O.D., M.D.

  • Optometrist
  • Vienna, VA
National Provider Identifier
1689729451
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001615 Issued in VA
Practice address
2110 Gallows Rd # C
Suite 2
Vienna, VA 22182-3962
Phone
(703) 918-0020
Fax
(703) 918-0026
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001615 VA Primary

Addresses

Primary practice location

2110 Gallows Rd # C
Suite 2
Vienna, VA 22182-3962

Mailing address

933 War Admiral St
Great Falls, VA 22066-2421
Phone (703) 405-8005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern State University College of Optometry Optometrist PastSince Jul 1, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1689729451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 WAR ADMIRAL ST",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662421",
            "telephone_number": "703-405-8005",
            "fax_number": "703-921-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 GALLOWS RD # C",
            "address_2": "SUITE 2",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823962",
            "telephone_number": "703-918-0020",
            "fax_number": "703-918-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMAZIZADEH",
        "first_name": "ARMIN",
        "name_prefix": "Dr.",
        "credential": "O.D., M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.