Ophthalmopathy Eye Clinic, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

0618001615 Issued in VA

Legal business name

OPHTHALMOPATHY EYE CLINIC, LLC

Practice address

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

Phone

(703) 918-0020

Fax

(703) 918-0026

NPI assigned

Mar 9, 2009

Last updated

Jan 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Armin Namazizadeh, O.D.NPI 1689729451

Title

Owner/ Medical Director

Phone

(703) 918-0020

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Armin Namazizadeh, O.D., M.D.

  • Optometrist
  • Vienna, VA
  • NPI 1689729451
  Authorized official Same address or phone

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1871734665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 C GALLOWS RD",
            "address_2": "SUITE # 2",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823962",
            "telephone_number": "703-918-0020",
            "fax_number": "703-918-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 C GALLOWS RD",
            "address_2": "SUITE # 2",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823962",
            "telephone_number": "703-918-0020",
            "fax_number": "703-918-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOPATHY EYE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "NAMAZIZADEH",
        "authorized_official_first_name": "ARMIN",
        "authorized_official_title_or_position": "OWNER/ MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "703-918-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VA",
            "license": "0618001615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Vienna, VA
• Providers in Vienna, VA by specialty
• Medical Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.