Healthcare Provider Details

I. General information

NPI: 1992768162
Provider Name (Legal Business Name): NEERAJ JALOTA O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21100 DULLES TOWN CIR STE 297
STERLING VA
20166-2442
US

IV. Provider business mailing address

21100 DULLES TOWN CIR STE 297
STERLING VA
20166-2442
US

V. Phone/Fax

Practice location:
  • Phone: 703-421-5333
  • Fax: 703-766-1493
Mailing address:
  • Phone: 703-421-5333
  • Fax: 703-766-1493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0618001405
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: