Provider Demographics
NPI:1477377810
Name:NUR EYE RESEARCH AND SURGERY INSTITUTE LLC
Entity type:Organization
Organization Name:NUR EYE RESEARCH AND SURGERY INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BASHIR
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-627-1787
Mailing Address - Street 1:2828 LITTLE FALLS PL
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-1730
Mailing Address - Country:US
Mailing Address - Phone:703-573-5668
Mailing Address - Fax:703-542-3226
Practice Address - Street 1:2828 LITTLE FALLS PL
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-1730
Practice Address - Country:US
Practice Address - Phone:703-573-5668
Practice Address - Fax:703-542-3226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-12
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma SpecialistGroup - Single Specialty