Azadi Optometric Services PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

6642TG Issued in TX

Legal business name

AZADI OPTOMETRIC SERVICES PLLC

Practice address

1311 Fairwood Rd
Austin, TX 78722-1023

Phone

(512) 650-3092

Fax

(512) 777-5030

NPI assigned

Aug 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Soroush Azadi, O.D.

Title

Owner

Phone

(512) 650-3092

Specialties & licenses 1

Addresses

Other names 1

• Mobile Eyes Doing business as

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1437465747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 FAIRWOOD RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78722",
            "telephone_number": "512-650-3092",
            "fax_number": "512-777-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 FAIRWOOD RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787221023",
            "telephone_number": "512-650-3092",
            "fax_number": "512-777-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZADI OPTOMETRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "AZADI",
        "authorized_official_first_name": "SOROUSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-650-3092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6642TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debora L Ayres, D.D.S.
• Jennifer Lyn Ayres, PH.D.
• Haneen Aysha
• Erica Lavan Murphy Ayuso, LCSW
• Az Medical PLLC
• Roya A Azadi, M.D.
• Soroush Bahnamiri Azadi, O.D.
• Azaph Residential Home Care LLC
• Adrian T Azar
• Michael Azarani, PH.D.

• Optometrist in Austin, TX
• Providers in Austin, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.