Healthcare Provider Details

I. General information

NPI: 1144075649
Provider Name (Legal Business Name): RNS OCULO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2024
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10910 N TATUM BLVD STE B-100
PHOENIX AZ
85028-3080
US

IV. Provider business mailing address

10910 N TATUM BLVD STE B-100
PHOENIX AZ
85028-3080
US

V. Phone/Fax

Practice location:
  • Phone: 480-291-6895
  • Fax: 480-948-3750
Mailing address:
  • Phone: 480-291-6895
  • Fax: 480-948-3750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207WX0200X
TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: RAMYAR TORABI
Title or Position: OWNER
Credential: MD
Phone: 480-291-6895