1770722365 NPI number — MOSTAGHIMI GROUP PLLC

Table of content: (NPI 1770722365)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770722365 NPI number — MOSTAGHIMI GROUP PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MOSTAGHIMI GROUP PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
TODAY'S VISION CINCO RANCH
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770722365
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/05/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23701 CINCO RANCH BLVD
Provider Second Line Business Mailing Address:
SUITE 170
Provider Business Mailing Address City Name:
KATY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77494-3209
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-347-3939
Provider Business Mailing Address Fax Number:
281-347-3940

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23701 CINCO RANCH BLVD
Provider Second Line Business Practice Location Address:
SUITE 170
Provider Business Practice Location Address City Name:
KATY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77494-3209
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-347-3939
Provider Business Practice Location Address Fax Number:
281-347-3940
Provider Enumeration Date:
02/05/2009

Additional Information

Authorized Official

Authorized Official Last Name:
MOSTAGHIMI
Authorized Official First Name:
ALI
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
281-347-3937

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  7092TG , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7092TG . This is a "OPTOMETRY LICENSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com