Samar Keshavarz Shirazi, OD
Optometrist in New York, NY. Individual provider (NPI-1).
NPI number1275215469
StatusActive
Last updated in NPPESAug 7, 2023
Details
- NPI
- 1275215469
- Entity type
- Individual (NPI-1)
- Name
- Samar Keshavarz Shirazi
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2023
- Certification date
- Aug 6, 2023
- Last updated
- Aug 7, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | RT009869-01 | NY | Yes |
Practice location
1034 5th AveNew York, NY 10028-0157
Phone 212-570-0707
Mailing address
215 W 95th St Apt 3dNew York, NY 10025-6340
Phone 347-946-4594
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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