MEDICARE: DR. PAYAM ZAREHBIN O.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	11992 TPA	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164428942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAYAM ZAREHBIN O.D

Provider Business Mailing Address
First Line	:	3301 E 12TH ST
Second Line	:	STE 109
City	:	OAKLAND
State	:	CA
Zip	:	94601-2943
Country	:	US
Telephone Number	:	510-533-6567
Fax Number	:	510-533-6566

Provider Business Practice Location Address
First Line	:	3301 E 12TH ST
Second Line	:	STE 109
City	:	OAKLAND
State	:	CA
Zip	:	94601-2943
Country	:	US
Telephone Number	:	510-533-6567
Fax Number	:	510-533-6566

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2005
Last Update Date	:	02/10/2014

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