Healthcare Provider Details

I. General information

NPI: 1801088612
Provider Name (Legal Business Name): MEERA SUTARIA O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEERA DADHANIA O.D.

II. Dates (important events)

Enumeration Date: 08/15/2007
Last Update Date: 01/03/2026
Certification Date: 01/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23710 SCHOOLER PLZ STE 205
BRAMBLETON VA
20148-1921
US

IV. Provider business mailing address

23710 SCHOOLER PLZ STE 205
BRAMBLETON VA
20148-1921
US

V. Phone/Fax

Practice location:
  • Phone: 703-962-1010
  • Fax: 703-373-2805
Mailing address:
  • Phone: 703-962-1010
  • Fax: 703-373-2805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0618001658
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: