National Provider Identifier Database

PEYAM MOJALLAL, OD – NPI #1154378511
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.


Contact Information

PEYAM MOJALLAL, OD
20600 GORDON PARK SQ
SUITE 150
ASHBURN, VA20147-3145
Phone: 703-723-3433
Fax: 703-723-1920
Website:
Specialty Taxonomy Code
* Low Vision Rehabilitation 152WL0500X
Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for PEYAM MOJALLAL

NPI Number 1154378511
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/30/2006
Last updated 12/06/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • VA License #: 0618001051
  • VA Medicaid: 9236805
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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