NPI 1003825621

Soroush Bahnamiri Azadi, OD

Practitioner Corneal and Contact Management Optometrist Austin, TX

Practice location

Address: 4211 S Lamar Blvd STE E-3, Austin, TX 78704-7996
Phone: (512) 916-4600

Registered specialties

Corneal and Contact Management Optometrist Primary

Eye and Vision Services Providers Taxonomy 152WC0802X Licence 6642TG (TX)

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Registry record

NPI: 1003825621
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2006
Record last updated: 12 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.