NPI 1023660701 · live from the CMS NPI Registry
Mohammed Elbagir Eissa, OD
Optometrist in Seaford, DE. National Provider Identifier 1023660701, active.
NPI record
| NPI | 1023660701 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1301 Bridgeville Hwy, Seaford, DE 19973 |
| Practice phone | 302-629-9197 |
| Mailing address | 1950 Old Gallows Rd Ste 520, Vienna, VA 22182 |
| Enumerated | July 12, 2019 |
| Last updated | November 19, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | TA2675 (MD) |
| Optometrist primary | 152W00000X | I3-0001420 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.