Ms. Mahtab Vaziri
Optometrist

Address: 15200 Shady Grove Rd, Suite 100, Rockville, MD 20850-3218
Phone: 3016701212

Ms. Mahtab Vaziri (NPI# 1568405215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1568405215
Entity Type Individual
Full Name Ms. Mahtab Vaziri
Credential OD
Gender Female
Practice Address 15200 Shady Grove Rd
Suite 100
Rockville
MD 20850-3218
Practice Telephone 3016701212
Practice Fax Number 3012169692
Mailing Address 7825 Tuckahoe Ct
Fulton
MD 20759-2599
Mailing Telephone 7036181933
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-06-13
Last Update Date 2014-02-12

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 152W00000X Optometrist Eye and Vision Services Providers 0618001518 VA

Physician Overview

NPI 1568405215
PAC ID by PECOS 9436252509
Professional Enrollment ID I20070309000220
Full Name Mahtab Vaziri
Organization Legal Name DR ALAN N. GLAZIER OPTOMETRIST P.A.
Phone Number 3016701212
Gender F
Medical School NEW ENGLAND COLLEGE OF OPTOMETRY
Graduation Year 2005
Primary Specialty OPTOMETRY
Group Practice PAC ID 0042209231
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Office Location

Street Address 15200 SHADY GROVE RD
SUITE 100
City ROCKVILLE
State MD
Zip Code 20850-3218

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1134110653 Sudeepa Gupta Internal Medicine 15200 Shady Grove Rd, Suite 305, Rockville, MD 20850-3218 2005-11-03
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1558602854 Potomac Neurology, LLP Psychiatry & Neurology 15200 Shady Grove Rd, Suite 202, Rockville, MD 20850-3218 2013-03-12
1659620516 Vicky Wing Lai Wong Optometrist 15200 Shady Grove Rd, Suite 100, Rockville, MD 20850-3218 2012-09-06
1194013094 Alesia Bergan Dentist 15200 Shady Grove Rd, Rockville, MD 20850-3218 2011-07-13
1346532603 Gulf Coast Dme, Inc. Durable Medical Equipment & Medical Supplies 15200 Shady Grove Rd, Suite 401, Rockville, MD 20850-3218 2011-05-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295208486 Laura Hanley Physical Therapy Assistant The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 2019-01-10
1538641964 Shamire Pierre-louis Speech-Language Pathologist 2 Research Place, Rockville, MD 20850 2018-09-01
1689153389 Diana Silvia Martins Social Worker 50 Maryland Avenue, Rockville, MD 20850 2018-08-13
1043737893 Clover Behavior Consulting Behavior Technician 402 King Farm Blvd, Rockville, MD 20850 2017-08-23
1417482647 Brightview Rockville Town Center, LLC Alzheimer Center (Dementia Center) 285 N. Washington Street, Rockville, MD 20850 2017-04-25
1467909952 Madison Dental LLC Dentist 15020 Shady Grove Road, Suite 360, Rockville, MD 20850 2016-09-01
1437509031 Shp Iv Fallsgrove, LLC Alzheimer Center (Dementia Center) 9200 Darnestown Road, Rockville, MD 20850 2016-06-15
1447624192 Injury Care Centers Inc Chiropractor 9600 Traville Gateway Drive Suite 104, Rockville, MD 20850 2015-11-18
1578932844 Ann Porter Dietitian, Registered 1 Research Court, Suite 450, Rockville, MD 20850 2015-09-17
1952783870 David Ross Social Worker 1301 Piccard Drive, Montgomery County Crisis Center, Rockville, MD 20850 2015-06-27
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558845396 Craig Spelke Optometrist 11823 Farmland Dr, Rockville, MD 20852-4303 2018-09-18
1326551367 Vc Insight, LLC Optometrist 5576 Norbeck Rd Unit B, Rockville, MD 20853-2408 2017-11-13
1891218798 Jenna Marie Sembrat Optometrist 15005 Shady Grove Rd Ste 100, Rockville, MD 20850-6341 2017-07-23
1225461981 Kevin Chan Optometrist 4110 Aspen Hill Rd Ste 300, Rockville, MD 20853-2853 2013-08-16
1619106952 Valerie Lyn Jones Optometrist 725 N. Lincoln Rd, Rockville, IN 47872 2009-07-08
1285862110 Eric Chi-jun Jan Optometrist 14008 Glen Mill Rd, Rockville, MD 20850-3427 2009-06-30
1184814428 Jp Kim Optometrist 9710 Traville Gateway Dr # 108, Rockville, MD 20850-7408 2007-08-01
1396967691 Parke Vision Care LLC Optometrist 725 N Lincoln Rd, Rockville, IN 47872-1117 2007-05-03
1770608788 Richard E Lippman Optometrist 12015 Rockville Pike, Suite E, Rockville, MD 20852-1611 2007-03-20
1184771834 Gary T Coburn Optometrist 725 N Lincoln Road, Rockville, IN 47872 2007-01-04
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Competitor

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City ROCKVILLE
Zip Code 20850

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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