Healthcare Provider Details

I. General information

NPI: 1134435514
Provider Name (Legal Business Name): AMAR SAYANI O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2010
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 S UNIVERSITY DR
DAVIE FL
33328-2018
US

IV. Provider business mailing address

11089 NASHVILLE DR
COOPER CITY FL
33026-4965
US

V. Phone/Fax

Practice location:
  • Phone: 954-262-4200
  • Fax: 954-262-2269
Mailing address:
  • Phone: 954-280-7551
  • Fax: 954-262-2269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberTUV-007600-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOFC 76
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: