Amir Akhavan Azari, M.D.
Individual provider Active NPI Corneal and Contact Management Optometrist · Philadelphia, PA
NPI 1801068382 · NPPES record last updated Jan 30, 2014
Key facts
- NPI
- 1801068382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Corneal and Contact Management Optometrist 152WC0802X
- License
- MD45090 (PA)
- Practice address
- 840 Walnut St
Suit 920
Philadelphia, PA 19107-5109 - Phone
- (215) 928-3180
- NPI assigned
- Mar 25, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD45090 | PA | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vantage Eyecare, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | MD45090 | PA | Yes |
Addresses
Primary practice location
840 Walnut St
Suit 920
Philadelphia, PA 19107-5109
Mailing address
840 Walnut St
Suite 920
Philadelphia, PA 19107-5109
Phone (215) 928-3180
Other providers in Philadelphia, PA
- Anita Azam
- Irfan Azam
- Razvan Azamfirei
- Azana Cares LLC
- Tarek Azar
- Michael Azat
- Immanuelle Azebe-Osime
- Quantella S Azeez
- Michele Azer
- Amna Yasmin Aziz
All providers in Philadelphia, PA · Corneal and Contact Management Optometrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.