Individual provider · NPI-1

Dr. Mehrnaz Dehghan Azimi Green, O.D.

Optometrist · Chevy Chase, MD

NPI number1124243860
StatusActive
Last updated in NPPESFeb 3, 2017

Details

NPI
1124243860
Entity type
Individual (NPI-1)
Name
Dr. Mehrnaz Dehghan Azimi Green
Credential
O.D.
Sex
Female
Sole proprietor
No
Enumeration date
Apr 16, 2007
Last updated
Feb 3, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristTA1869MDYes
152WP0200X Optometrist, PediatricsTA1869MD
152WV0400X Optometrist, Vision TherapyTA1869MD
152WS0006X Optometrist, Sports VisionTA1869MD

Practice location

6900 Wisconsin Ave
Ste. 600
Chevy Chase, MD 20815-6114

Phone 301-951-0320 · Fax 301-951-0370

Mailing address

6900 Wisconsin Ave
Ste. 600
Chevy Chase, MD 20815-6114

Phone 301-951-0320 · Fax 301-951-0370

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