NPIMap

Organization Active NPI

Morvarid Fallahzadeh, L.L.C.

  • Optometrist
  • Davie, FL
National Provider Identifier
1154737211
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4919 Issued in FL
Legal business name
MORVARID FALLAHZADEH, L.L.C.
Practice address
13950 Oak Ridge Dr
Davie, FL 33325-3001
Phone
(954) 817-9646
NPI assigned
Jul 9, 2014
Last updated
Jul 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Morvarid Fallahzadeh, O.D.NPI 1164837258
Title
Managing Member
Phone
(954) 817-9646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4919 FL Primary

Addresses

Primary practice location

13950 Oak Ridge Dr
Davie, FL 33325-3001

Mailing address

13950 Oak Ridge Dr
Davie, FL 33325-3001

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1154737211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13950 OAK RIDGE DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333253001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13950 OAK RIDGE DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333253001",
            "telephone_number": "954-817-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORVARID FALLAHZADEH, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "FALLAHZADEH",
        "authorized_official_first_name": "MORVARID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "954-817-9646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "4919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.