Healthcare Provider Details

I. General information

NPI: 1164367512
Provider Name (Legal Business Name): SAHAR BARDI, O.D., PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 MONTANA AVE STE A
SANTA MONICA CA
90403-1537
US

IV. Provider business mailing address

901 MONTANA AVE STE A
SANTA MONICA CA
90403-1537
US

V. Phone/Fax

Practice location:
  • Phone: 310-451-5741
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: SAHAR BARDI
Title or Position: PRESIDENT
Credential: OD
Phone: 310-633-4569