SOROUSH BAHNAMIRI AZADI (NPI# 1003825621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003825621 |
| Entity Type | Individual |
| Full Name | SOROUSH BAHNAMIRI AZADI |
| Credential | O.D. |
| Practice Address |
4211 S Lamar Blvd Ste E-3 Austin TX 78704-7996 |
| Practice Telephone | 5129164600 |
| Mailing Telephone | 5129164600 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2012-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
6642TG | TX | Eye and Vision Services Providers |
| Street Address |
4211 S LAMAR BLVD STE E-3 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-7996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326318189 | Eye Capitol, P.a. | Optometrist | 1144 Airport Blvd Ste 235, Austin, TX 78702-3163 | 2012-01-10 |
| 1306880059 | Garth B Weaver | Optometrist | 3908 Far West Blvd, Austin, TX 78731-2994 | 2006-06-15 |
| 1265433924 | Jill Marie Haven | Optometrist | 1100 Silver Hill Dr, Austin, TX 78746-7422 | 2005-08-03 |
| 1063655413 | Park Eyecare Pllc | Optometrist | 1000 E 41st St, 120, Austin, TX 78751-4810 | 2009-04-15 |
| 1568607729 | Roger A. Duke, O.d., LLC | Optometrist | 4409 Manchaca Rd, Austin, TX 78745-1603 | 2008-12-02 |
| 1295984433 | Texas Vision Consultants | Optometrist | 9500 S Ih 35, Bldg G, Austin, TX 78748-1752 | 2008-09-11 |
| 1255328951 | David R. Starnes, Od, Inc. | Optometrist | 4409 Manchaca Rd, Austin, TX 78745-1603 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004840 | Dripping Springs Vision Center, Pa | Optometrist | 750 W Highway 290, Dripping Springs, TX 78620-3861 | 2020-05-12 |
| 1427693621 | Huynh Vision Services Inc PC | Optometrist | 1405 W Berry St, Ft Worth, TX 76110-3814 | 2019-11-12 |
| 1992367460 | Budaful Eyes Pllc | Optometrist | 15550 S Ih 35 Frontage Rd, 107, Buda, TX 78610 | 2019-07-03 |
| 1831631134 | Divine Innovations Pllc | Optometrist | 6646 S Staples St Ste 108, Corpus Christi, TX 78413-5426 | 2016-11-17 |
| 1679024384 | Chao and Yi Eye Associates, PC | Optometrist | 9722 Gaston Road, Suite: 170, Katy, TX 77494 | 2016-10-18 |
| 1811344674 | Rayford Eye Associates, Pllc | Optometrist | 2833 Riley Fuzzel Rd., #300, Spring, TX 77386 | 2016-05-20 |
| 1902224173 | Doris D Forte | Optometrist | 11341 Hillard Street, Ellington Air Station, Houston, TX 77034 | 2014-04-03 |
| 1770922338 | Napoleon Cabaguio Lovero II | Optometrist | 520 Waugh Drive, Houston, TX 77019 | 2013-06-17 |
| 1093052128 | Renaissance Eyecare | Optometrist | 2900 East Berry Street Suite 101, Fort Worth, TX 76105-4755 | 2013-01-09 |
| 1851636989 | Trophy Club Vision Care LLP | Optometrist | 2001 E Highway 114 Ste 180, Trophy Club, TX 76262-6656 | 2012-11-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOROUSH BAHNAMIRI AZADI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.