Organization Active NPI

Sirus Hamzavi, MD LLC PA

  • Ophthalmology Physician
  • Lewiston, ME
National Provider Identifier
1740409424
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
016330 Issued in ME
Legal business name
SIRUS HAMZAVI, MD LLC PA
Practice address
10 High St Ste 304
Lewiston, ME 04240-7640
Phone
(207) 795-7517
NPI assigned
Apr 24, 2007
Last updated
Jan 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Dr. Sirus Hamzavi, M.D.
Title
Doctor
Phone
(207) 795-7517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 016330 ME Primary

Addresses

Primary practice location

10 High St Ste 304
Lewiston, ME 04240-7640

Mailing address

10 High St Ste 304
Lewiston, ME 04240-7640
Phone (207) 795-7517

National Provider Directory

National Provider Directory

Locations

10 High St
Lewiston, ME 04240
Phone (207) 783-2295

10 High St
Ste 304
Lewiston, ME 04240
Phone (207) 777-5300

Practitioners & affiliated clinicians

Practitioners 10

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1740409424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HIGH ST STE 304",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407640",
            "telephone_number": "207-795-7517",
            "fax_number": "207-795-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGH ST STE 304",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407640",
            "telephone_number": "207-795-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRUS HAMZAVI, MD LLC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "HAMZAVI",
        "authorized_official_first_name": "SIRUS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "207-795-7517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ME",
            "license": "016330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.