Dr. Roozbeh Yazdani OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

GA1706 Issued in GA

Legal business name

DR. ROOZBEH YAZDANI OD PC

Practice address

308 Habersham Hills Cir
Cornelia, GA 30531-5388

Phone

(706) 778-2152

Fax

(706) 894-1227

NPI assigned

Sep 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Roozbeh Yazdani, OD

Title

Optometrist/Owner

Phone

(706) 778-2152

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1821248980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 JEFFERSON PL",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406453",
            "telephone_number": "706-778-2152",
            "fax_number": "706-894-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 HABERSHAM HILLS CIR",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305315388",
            "telephone_number": "706-778-2152",
            "fax_number": "706-894-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROOZBEH YAZDANI OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "YAZDANI",
        "authorized_official_first_name": "ROOZBEH",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "706-778-2152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA1706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Cornelia, GA
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.