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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOROUSH BAHNAMIRI AZADI, O.D.

Active Sole Proprietor

SOROUSH BAHNAMIRI AZADI, O.D. is a Corneal & Contact Management Optometrist healthcare provider located in AUSTIN, Texas. NPI 1003825621 is currently active in the NPPES registry. Verify at CMS.

Corneal & Contact Management Optometrist · AUSTIN, TX

Registration Details

NPI Number
1003825621
Provider Type
Individual
Gender
Male
NPI Issued
Aug 5, 2006 (19.999518532795 yrs)
Last Updated
Sep 12, 2012
License
6642TG (TX)
Sole Proprietor
Yes

Practice Information

Address
4211 S LAMAR BLVD
STE E-3
AUSTIN, TX, 787047996
Browse TX providers · Browse ZIP 78704
Phone
5129164600
Primary Specialty
Corneal & Contact Management Optometrist
152WC0802X

Other Corneal & Contact Management Optometrist Providers in AUSTIN, TX

Name Credential NPI
GARTH B WEAVER O.D. 1306880059
DR. CHERYL F. JANSEN O.D. 1194817031
DR. TERENCE JANSEN O.D. 1588757983
DR. MICHAEL ADRIAN CHAVEZ O.D. 1851561740
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.