Healthcare Provider Details

I. General information

NPI: 1699211565
Provider Name (Legal Business Name): VAHID FEIZ, MD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2017
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N WIGET LN SUITE 270
WALNUT CREEK CA
94598-5988
US

IV. Provider business mailing address

100 N WIGET LN SUITE 270
WALNUT CREEK CA
94598-5988
US

V. Phone/Fax

Practice location:
  • Phone: 925-705-7299
  • Fax: 800-521-7886
Mailing address:
  • Phone: 925-705-7299
  • Fax: 800-521-7886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA68094
License Number StateCA

VIII. Authorized Official

Name: VAHID FEIZ
Title or Position: OWNDER
Credential: MD
Phone: 825-705-7299