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General NPI Number Information
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NPI Number | 1144289661
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Entity Type | Organization
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Legal Business Name | DULLES EYE ASSOCIATES, P.C.
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 19415 DEERFIELD AVE STE 106
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City | LANSDOWNE
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State | VA
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Zip | 20176-8452
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Country | US
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Telephone | 703-723-9633
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Fax | 703-723-9772
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Provider Business Mailing Address
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Address Line | 19415 DEERFIELD AVE STE 106
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City | LANSDOWNE
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State | VA
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Zip | 20176-8452
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Country | US
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Telephone | 703-723-9633
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Fax | 703-723-9772
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Authorized Official
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Title or Position | OWNER
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Name | MR. ABU AHMED NASRULLAH
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Credential | MD
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Telephone | 703-723-9633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 0101232401
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License Number State | VA
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