Nazak Mozaffarieh O D INC
Optometrist in Pinole, CA. Organization (NPI-2).
NPI number1053922005
StatusActive
Last updated in NPPESOct 7, 2021
Details
- NPI
- 1053922005
- Entity type
- Organization (NPI-2)
- Legal business name
- Nazak Mozaffarieh O D INC
- Organization subpart
- No
- Enumeration date
- Aug 13, 2020
- Certification date
- Oct 7, 2021
- Last updated
- Oct 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Eyes & Smiles Optometry (Doing Business As)
Practice location
1773 San Pablo Ave Ste A1Pinole, CA 94564-2084
Phone 510-222-3020 · Fax 510-222-9020
Mailing address
1773 San Pablo Ave Ste A1Pinole, CA 94564-2084
Phone 510-222-3020 · Fax 510-222-9020
Authorized official
Nazak Mozaffarieh
Founder/Optometrist
5105203484
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