Organization Active NPI

Maryam Zamani, M.D., PC

  • Corneal and Contact Management Optometrist
  • Annandale, VA
National Provider Identifier
1881669919
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
0101237180 Issued in VA
Legal business name
MARYAM ZAMANI, M.D., PC
Practice address
3229 Woodburn Rd
Ste 350
Annandale, VA 22003-1274
Phone
(410) 848-8202
Fax
(410) 848-2644
NPI assigned
Feb 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maryam Zamani, M.D., PC
Title
Medical Director
Phone
(410) 848-8202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 0101237180 VA Primary

Addresses

Primary practice location

3229 Woodburn Rd
Ste 350
Annandale, VA 22003-1274

Mailing address

3229 Woodburn Rd
Ste 350
Annandale, VA 22003-1274
Phone (410) 848-8202

Other identifiers 2

IdentifierTypeStateIssuer
K711OtherVAFEDERAL BLUE CROSS
179791OtherVABC/BS OF VIRGINIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881669919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 WOODBURN RD",
            "address_2": "STE 350",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031274",
            "telephone_number": "410-848-8202",
            "fax_number": "410-848-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 WOODBURN RD",
            "address_2": "STE 350",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031274",
            "telephone_number": "410-848-8202",
            "fax_number": "410-848-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYAM ZAMANI, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZAMANI",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-848-8202",
        "authorized_official_credential": "M.D., PC"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "VA",
            "license": "0101237180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE CROSS",
            "identifier": "K711",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF VIRGINIA",
            "identifier": "179791",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.