DR. PEYAM MOJALLAL OD NPI 1154378511

NPI Information

  • NPI: 1154378511
  • Provider Name: DR. PEYAM MOJALLAL, OD
  • Classification: Optometrist - 152WL0500X
  • Specialization: Low Vision Rehabilitation
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 20600 GORDON PARK SQ
    SUITE 150
    ASHBURN, VA
    ZIP 20147
  • Phone: (703) 723-3433

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NPI Details

DR. Peyam Mojallal, OD is a low vision rehabilitation optometrist in Ashburn, VA with 26 years of experience. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. DR. Peyam Mojallal, OD NPI is 1154378511. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduation Year:2000

The provider's business location address is:

20600 GORDON PARK SQ
SUITE 150
ASHBURN, VA
ZIP 20147-145
Phone: (703) 723-3433
Fax: (703) 723-1920

The NPI 1154378511 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Photography of the retina (HCPCS:92250)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • New patient complete exam of visual system (HCPCS:92004)
  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Exam of the internal drainage system of eye (HCPCS:92020)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Imaging of optic nerve (HCPCS:92133)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)

The enumeration date for this NPI number is 5/30/2006 and was last updated on 12/6/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist0618001051VIRGINIANo
2152WL0500XOptometristLow Vision Rehabilitation0618001051VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U89477MEDICARE UPINVIRGINIA
29236805MEDICAIDVIRGINIA
300W337P01MEDICARE PINVIRGINIA
4U89477MEDICARE UPIN
5G01946P01MEDICARE PINDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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