Individual provider · NPI-1

Iman Mariam Ahmed, OD

Optometrist · Fort Worth, TX

NPI number1699609768
StatusActive
Last updated in NPPESJun 11, 2026

Details

NPI
1699609768
Entity type
Individual (NPI-1)
Name
Iman Mariam Ahmed
Credential
OD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 11, 2026
Certification date
Jun 11, 2026
Last updated
Jun 11, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist11714TXYes

Practice location

4800 S Hulen St Ste 2720
Fort Worth, TX 76132-1465

Phone 833-362-8789

Mailing address

612 Waterchase Dr
Fort Worth, TX 76120-2871

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