Provider Demographics
NPI:1144661109
Name:AMERICAN OPTICAL AND CONTACT LENSES
Entity type:Organization
Organization Name:AMERICAN OPTICAL AND CONTACT LENSES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAMEED
Authorized Official - Middle Name:
Authorized Official - Last Name:PERACHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-820-0804
Mailing Address - Street 1:3400 PAYNE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-2313
Mailing Address - Country:US
Mailing Address - Phone:703-820-0804
Mailing Address - Fax:
Practice Address - Street 1:8650 GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3404
Practice Address - Country:US
Practice Address - Phone:301-589-7474
Practice Address - Fax:301-589-7159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-07
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101052346261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center