Basic Information
Provider Information
NPI: 1417260894
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZAER
FirstName: NAGHMEH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: O.D
OtherOrganizationName:  
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Mailing Information
Address1: 1950 OLD GALLOWS RD STE 520
Address2:  
City: VIENNA
State: VA
PostalCode: 221823970
CountryCode: US
TelephoneNumber: 7038478899
FaxNumber: 8667954020
Practice Location
Address1: 1100 S HAYES ST
Address2:  
City: ARLINGTON
State: VA
PostalCode: 222024907
CountryCode: US
TelephoneNumber: 7038882999
FaxNumber: 7038882996
Other Information
ProviderEnumerationDate: 07/14/2010
LastUpdateDate: 01/25/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
152W00000XOP1000199DCN Eye and Vision Services ProvidersOptometrist 
152W00000X0618001961VAY Eye and Vision Services ProvidersOptometrist 

No ID Information.


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