DR. ROUSHANAK FADAVI (NPI# 1891033825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891033825 |
| Entity Type | Individual |
| Full Name | DR. ROUSHANAK FADAVI |
| Credential | O.D. |
| Practice Address |
4 Arcata Mission Viejo CA 92692-5138 |
| Mailing Address |
30212 Tomas Ste 170 Rancho Santa Margarita CA 92688-2174 |
| Practice Telephone | 2017259285 |
| Mailing Telephone | 9495890767 |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2013-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
14103T | CA | Eye and Vision Services Providers |
| Street Address |
4 ARCATA |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92692-5138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386177319 | Thomas David Clevenger | Respiratory Therapist, Registered | 27821 Barbate, Mission Viejo, CA 92692 | 2017-04-06 |
| 1679926349 | Advanced Behavioral Learning Environment | Behavioral Analyst | 24522 Aguirre, Mission Viejo, CA 92692 | 2016-07-19 |
| 1619216827 | Podiatry Hotline Inc | Clinic/Center | 20532 El Toro Rd Ste 111, Mission Viejo, CA 92692 | 2013-02-07 |
| 1609165356 | Shota Yamamoto | Radiology | 26161 Marguerite Pkwy Ste A, Mission Viejo, CA 92692 | 2011-04-04 |
| 1376842328 | Orange County Urogynecology, A Medical Corp. | Urology | 25108 Marguerite Pkwy, A-259, Mission Viego, CA 92692 | 2011-03-16 |
| 1528368180 | Jihad Naim Bayaa | Pharmacist | 26406 Lombardy Rd, Mission Viejo, CA 92692 | 2010-10-29 |
| 1588971162 | Emmanuel Angeles, D.d.s., Inc. | Dentist | 32065 Temecula Pkwy, #c, Temecula, CA 92692 | 2010-09-03 |
| 1063670768 | Mission Viejo Dental Associates | Clinic/Center | 25522 Marguerite Parkway, #100, Mission Viejo, CA 92692 | 2008-05-29 |
| 1205001435 | Moroni Chs Inc | Voluntary or Charitable | 21663 Paseo Casiano, Mission Viejo, CA 92692 | 2008-04-29 |
| 1730386988 | Turning Point Treatment Center | Substance Abuse Rehabilitation Facility | 23181 Tiagua Streer, Mission Viejo, CA 92692 | 2007-06-29 |
| Find all providers in zip 92692 | ||||
| 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 |
|---|---|---|---|---|
| 1730741299 | Eye Connection Optometry, Inc | Optometrist | 9516 Miramar Road, San Diego, CA 92126 | 2019-07-05 |
| 1053880468 | Elements Optometry P.C. | Optometrist | 703 Pier Ave Ste C, Hermosa Beach, CA 90254-3958 | 2018-11-14 |
| 1184108797 | Patrick W Utnehmer A Proffesional Corporation | Optometrist | 41493 Margarita Rd Ste G109, Temecula, CA 92591-5570 | 2018-09-19 |
| 1629586409 | Excel Family Eye Care Inc | Optometrist | 15855 Soquel Canyon Pkwy Ste 120, Chino Hills, CA 91709-7866 | 2018-01-16 |
| 1548634504 | Jessica Duong,o.d.inc. | Optometrist | 4294 Riverwalk Pkwy Ste 204, Riverside, CA 92505-3378 | 2015-11-13 |
| 1649694571 | Visual Eyes Optometry Inc | Optometrist | 4555 Hopyard Rd Ste C-19, Pleasanton, CA 94588-2771 | 2014-02-12 |
| 1649602939 | Kambiz Silani | Optometrist | 212 S Robertson Blvd, Beverly Hills, CA 90211-2811 | 2013-08-08 |
| 1740621937 | Old Town Optometry Inc | Optometrist | 78015 Main St Ste 107, La Quinta, CA 92253-3420 | 2013-07-16 |
| 1659629384 | Yen's Optometry Inc. | Optometrist | 1335 Lincoln Ave, San Jose, CA 95125-3022 | 2012-08-28 |
| 1114202181 | Margaret Lai | Optometrist | 2512 Washington Ave, Santa Monica, CA 90403 | 2011-10-20 |
| Find all providers with the same taxonomy | ||||
| City | MISSION VIEJO |
| Zip Code | 92692 |
Please comment or provide details below to improve the information on DR. ROUSHANAK FADAVI.
| 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.