Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Peyam Mojallal, OD

Individual provider Optometrist · NPI 1154378511

Dr. Peyam Mojallal, OD is an Optometry in Ashburn, Virginia. Graduated from State University of New York - State College Optometry in 2000, 26 years ago. Licensed in Virginia.

Years since qualifying
26
Trained at
State University of New York - State College Optometry
Licensed in
VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

20600 Gordon Park Sq Ste 150
Ashburn, VA 20147-3145
Phone: (703) 723-3433
Fax: (703) 723-1920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Low Vision Rehabilitation Optometrist (primary) Taxonomy 152WL0500X · Licence 0618001051 (VA)
Optometrist Taxonomy 152W00000X · Licence 0618001051 (VA)

Record details

NPI number1154378511
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 30, 2006
Last updated in NPPESDecember 6, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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