Healthcare Provider Details

I. General information

NPI: 1538059100
Provider Name (Legal Business Name): TNOOR OPTOMETRY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7035 BERACASA WAY STE 101
BOCA RATON FL
33433-3454
US

IV. Provider business mailing address

8021 PETERS RD APT 421
PLANTATION FL
33324-4064
US

V. Phone/Fax

Practice location:
  • Phone: 561-391-3334
  • 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: TASNIM NOOR
Title or Position: OWNER
Credential: OD
Phone: 954-224-8642