Peyam Mojallal Od and Associates

NPI #1679615009 in Ashburn, Virginia

Provider Information

NPI Number: 1679615009
Entity Type: Organization
Organization Name: Peyam Mojallal Od and Associates
Primary Specialty: Optometrist
Enumeration Date: Feb 13, 2007
Last Updated: Oct 29, 2007

Practice Location

Address: 20600 GORDON PARK SQ
Address 2: SUITE 150
City: Ashburn
State: Virginia
ZIP Code: 20147-3145
Phone: (703) 723-7117

Authorized Official

Name: DR. PEYAM MOJALLAL, OD
Title: OWNER PRESIDENT
Phone: (703) 723-3433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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