IndividualActive
Peyam Mojallal, OD
NPI 1154378511 · Low Vision Rehabilitation Optometrist · Ashburn, VA
Provider details
- NPI number
- 1154378511
- Entity type
- Individual
- Primary specialty
- Low Vision Rehabilitation OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 0618001051 (VA)
Practice location
20600 Gordon Park Sq
Suite 150
Ashburn, VA 20147-3145
Phone: (703) 723-3433
Fax: (703) 723-1920
Mailing address
20600 Gordon Park Sq
Ashburn, VA 20147-3145
Registry dates
- Enumerated
- 2006-05-30
- Last updated
- 2007-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.