Dr Wafa Abdulrazzaq, PA

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

OPC3982 Issued in FL

Legal business name

DR WAFA ABDULRAZZAQ, PA

Practice address

8711 Stirling Rd
Cooper City, FL 33328-5932

Phone

(954) 434-1414

Fax

(954) 434-1417

NPI assigned

Mar 28, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Wafa Abdulrazzaq, OD

Title

Owner/Optometrist

Phone

(954) 434-1414

Specialties & licenses 1

Addresses

Other names 1

• Eye Q Optical Doing business as

Locations

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1447593355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 STIRLING RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333285932",
            "telephone_number": "954-434-1414",
            "fax_number": "954-434-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8711 STIRLING RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333285932",
            "telephone_number": "954-434-1414",
            "fax_number": "954-434-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR WAFA ABDULRAZZAQ, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "ABDULRAZZAQ",
        "authorized_official_first_name": "WAFA",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "954-434-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC3982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Q Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Shanica Edwards, LCSW

• Eyewear Supplier in Cooper City, FL
• Providers in Cooper City, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.