MEDICARE: DR. AUZITA SAJJADI OD

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	1865-800AT	LA
2	152W00000X	Optometrist	9635TG	TX

General Provider Information

NPI Number	:	1558847020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AUZITA SAJJADI OD

Provider Business Mailing Address
First Line	:	21848 HOLZWARTH RD STE 200
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-3735
Country	:	US
Telephone Number	:	713-365-9099
Fax Number	:

Provider Business Practice Location Address
First Line	:	21848 HOLZWARTH RD STE 200
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-3735
Country	:	US
Telephone Number	:	713-365-9099
Fax Number	:

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

Provider Enumeration Date	:	07/17/2018
Last Update Date	:	09/16/2025

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