Healthcare Provider Details

I. General information

NPI: 1376462952
Provider Name (Legal Business Name): HAYA ADIL SHEIKH OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12444 DILLINGHAM SQ
WOODBRIDGE VA
22192-5258
US

IV. Provider business mailing address

2055 DANFORTH AVENUE APT 204
TORONTO ONTARIO
M4C1J8
CA

V. Phone/Fax

Practice location:
  • Phone: 703-680-4323
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0618003646
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: