Organization Active NPI

Dr Wafa Abdulrazzaq PA

Doing business as Eye Q Optical

  • Point of Service
  • Cooper City, FL
National Provider Identifier
1932395274
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
OPC3982 Issued in FL
Legal business name
DR WAFA ABDULRAZZAQ PA
Doing business as
Eye Q Optical
Practice address
8711 Stirling Rd
Cooper City, FL 33328-5932
Phone
(954) 434-1414
Fax
(954) 434-1417
NPI assigned
Sep 20, 2007
Last updated
Sep 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Dr. Wafa Abdulrazzaq, O.D.NPI 1063623858
Title
Director
Phone
(954) 646-3812

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
Point of Service 305S00000X OPC3982 FL Primary

Addresses

Primary practice location

8711 Stirling Rd
Cooper City, FL 33328-5932

Mailing address

1411 NW 103Rd Ave
Plantation, FL 33322-6626
Phone (954) 646-3812

Other names 1

  • Eye Q Optical 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, 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": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1932395274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 NW 103RD AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333226626",
            "telephone_number": "954-646-3812"
        },
        {
            "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": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "ABDULRAZZAQ",
        "authorized_official_first_name": "WAFA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-646-3812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "OPC3982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Q Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.