Provider Demographics
NPI:1578083150
Name:KAUR, HARJOT (OD)
Entity type:Individual
Prefix:DR
First Name:HARJOT
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:571-560-0351
Mailing Address - Fax:
Practice Address - Street 1:3910 CENTREVILLE RD STE 100
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-3280
Practice Address - Country:US
Practice Address - Phone:703-830-6380
Practice Address - Fax:703-263-2441
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-23
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV008570-1152W00000X
VA0618002824152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist