Individual provider Active NPI

Arezo Pirzad Wolski, OD

  • Optometrist
  • King of Prussia, PA
National Provider Identifier
1407491350
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003626 Issued in PA
Practice address
690 W Dekalb Pike
King of Prussia, PA 19406-2943
Phone
(610) 337-4114
Fax
(610) 337-4096
NPI assigned
Nov 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003626 PA Primary

Addresses

Primary practice location

690 W Dekalb Pike
King of Prussia, PA 19406-2943

Mailing address

690 W Dekalb Pike
King of Prussia, PA 19406-2943
Phone (610) 337-4114

Other names 1

  • Dr. Arezo Pirzad Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200601000791 PA Practitioner - Optometry 7618398561 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003626PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Elder Eye Care Group, Inc Optometrist CurrentSince Mar 1, 2020 Accepting new patients
America'S Best Contacts & Eyeglasses PastSince Nov 1, 2019 Accepting new patients
Luxottica of America Inc PastSince Jun 23, 2024 Accepting new patients

Locations

2944 Conestoga Rd
Unit D4
Glenmoore, PA 19343
Phone (610) 458-7171

501 Kimberton Rd
Phoenixville, PA 19460
Phone (610) 917-9999

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1407491350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 W DEKALB PIKE",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062943",
            "telephone_number": "610-337-4114",
            "fax_number": "610-337-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 W DEKALB PIKE",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062943",
            "telephone_number": "610-337-4114",
            "fax_number": "610-337-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLSKI",
        "first_name": "AREZO",
        "middle_name": "PIRZAD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AREZO",
            "last_name": "PIRZAD",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.