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NPI Code Detail

MEDICARE: SONALI DAS OD

MEDICARE: SONALI DAS OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist10536TX
2152W00000XOptometristOPT003696GA
3152W00000XOptometrist2515SC

General Provider Information

NPI Number : 1588382725
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONALI DAS OD
Provider Business Mailing Address
First Line : 8614 WESTWOOD CENTER DR FL 9
Second Line :
City : VIENNA
State : VA
Zip : 22182-2442
Country : US
Telephone Number : 703-847-8899
Fax Number :
Provider Business Practice Location Address
First Line : 2703 RICHMOND RD
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-2328
Country : US
Telephone Number : 903-838-0783
Fax Number : 903-831-6145
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2022
Last Update Date : 02/10/2026

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Directions to “ SONALI DAS OD” Practice Location

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