Basic Information
Provider Information
NPI: 1841638756
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AL-SAYYAD
FirstName: AHMED
MiddleName: Q
NamePrefix:  
NameSuffix:  
Credential: DR.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1950 OLD GALLOWS RD
Address2: SUITE 520
City: VIENNA
State: VA
PostalCode: 221823990
CountryCode: US
TelephoneNumber: 7038478899
FaxNumber: 7039910514
Practice Location
Address1: 7511 LEESBURG PIKE
Address2:  
City: FALLS CHURCH
State: VA
PostalCode: 220432105
CountryCode: US
TelephoneNumber: 7039425300
FaxNumber: 7039929704
Other Information
ProviderEnumerationDate: 06/13/2013
LastUpdateDate: 01/23/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
152W00000XTA2351MDN Eye and Vision Services ProvidersOptometrist 
152W00000X0618002246VAY Eye and Vision Services ProvidersOptometrist 

No ID Information.


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