NPIMap

Organization Active NPI

Nazak Mozaffarieh

  • Optometrist
  • Pinole, CA
National Provider Identifier
1760878896
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12430 Issued in CA
Legal business name
NAZAK MOZAFFARIEH
Practice address
1773 San Pablo Ave Ste A1
Pinole, CA 94564-2084
Phone
(510) 222-3020
Fax
(510) 222-9020
NPI assigned
Apr 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Authorized official

Name
Dr. Nazak Mozaffarieh, O.D.NPI 1699710988
Title
Owner/Optometrist
Phone
(510) 222-3020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12430 CA Primary

Addresses

Primary practice location

1773 San Pablo Ave Ste A1
Pinole, CA 94564-2084

Mailing address

1773 San Pablo Ave Ste A1
Pinole, CA 94564-2084
Phone (510) 222-3020

Other names 1

  • Eyes & Smiles Optometry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1760878896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 SAN PABLO AVE STE A1",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642084",
            "telephone_number": "510-222-3020",
            "fax_number": "510-222-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1773 SAN PABLO AVE STE A1",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642084",
            "telephone_number": "510-222-3020",
            "fax_number": "510-222-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZAK MOZAFFARIEH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "MOZAFFARIEH",
        "authorized_official_first_name": "NAZAK",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "510-222-3020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes & Smiles Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinole, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.