Provider Demographics
NPI:1134867807
Name:SEIF, MAYA NICOLE
Entity type:Individual
Prefix:
First Name:MAYA
Middle Name:NICOLE
Last Name:SEIF
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:MAYA
Other - Middle Name:
Other - Last Name:SEIF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:
Practice Address - Street 1:665 BRIARTHORN CRESCENT DR
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-7501
Practice Address - Country:US
Practice Address - Phone:330-336-9177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-23
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOPT.007032152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist