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

DR. ROUSHANAK FADAVI, O.D.

Active Sole Proprietor

DR. ROUSHANAK FADAVI, O.D. is a Corneal & Contact Management Optometrist healthcare provider located in MISSION VIEJO, California. NPI 1891033825 is currently active in the NPPES registry. Verify at CMS.

Corneal & Contact Management Optometrist · MISSION VIEJO, CA

Registration Details

NPI Number
1891033825
Provider Type
Individual
Gender
Female
NPI Issued
Jan 25, 2013 (13.580821810655 yrs)
Last Updated
Jan 25, 2013
License
14103T (CA)
Sole Proprietor
Yes

Practice Information

Address
4 ARCATA
MISSION VIEJO, CA, 926925138
Browse CA providers · Browse ZIP 92692
Phone
2017259285
Primary Specialty
Corneal & Contact Management Optometrist
152WC0802X
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.