MISS SHAYESTEH MARYAM IZADDOOST O.D.
NPI 1396875910
Optometrist in Fort George G Meade, MD

Active since March 06, 2007
2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755(301) 677-8950 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2022, May 14, 2021 (2 updates tracked since 2021).

About Miss Shayesteh Maryam Izaddoost O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS SHAYESTEH MARYAM IZADDOOST O.D. (NPI 1396875910) is an individual optometrist in Fort George G Meade, Maryland, licensed in Texas (7031TG) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1396875910
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMISS SHAYESTEH MARYAM IZADDOOSTCredential: O.D.
Location Address2480 LLEWELLYN AVEFort George G Meade, MD 20755-7081
Mailing Address2480 Llewellyn AveFort George G Meade, MD 20755-7081 · (301) 677-8950
Sole ProprietorNo
Enumeration DateMarch 6, 2007
Last NPPES UpdateAugust 25, 20222 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
NPI 1396875910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in TX · 7031TG Licensed in VA · 0618002983 Licensed in GA · OPT002693
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2480 LLEWELLYN AVE, Fort George G Meade, MD 20755

Other Identifiers 1

Other7031TGTX · License (thera Glauc)

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Ambulatory Care)
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Social Worker (Clinical)
2480 LLEWELLYN AVE
FORT MEADE, MD 20755
Licensed Vocational Nurse
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Optometrist
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Social Worker (Clinical)
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Physician Assistant
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Nurse's Aide
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Social Worker (Clinical)
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER
FORT GEORGE G MEADE, MD 20755

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shayesteh Izaddoost's NPI number?

The NPI number for Shayesteh Izaddoost is 1396875910. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Shayesteh Izaddoost located?

Shayesteh Izaddoost practices at 2480 Llewellyn Ave, Fort George G Meade, MD 20755. The listed phone number is (301) 677-8950.

What is Shayesteh Izaddoost's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Shayesteh Izaddoost was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.