Khazraee, Farzad A.
Khazraee, Farzad A. is an sole proprietor health care provider with primary practice located at Plaza Isabela Local 265 3535 Ave. Militar, Isabela PR 00662-5909. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Khazraee, Farzad A. can be contacted via phone (787) 589-8334.Contact Information
Primary practice address
Plaza Isabela Local 265 3535 Ave. Militar
Isabela PR 00662-5909
Phone: (787) 589-8334
Fax: (787) 589-8334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 496-302 | Puerto Rico |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 496 | Puerto Rico |
Profile Details
| NPI number | 1003887522 |
|---|---|
| LBN Legal business name | Khazraee, Farzad A. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Aug 24th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003887522 | NPPES |
| Puerto Rico | MEDICAID | HSS378A |
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