Healthcare Provider Details

I. General information

NPI: 1780503128
Provider Name (Legal Business Name): ARSHEEN AMIR ALI OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1455 NW 107TH AVE STE 790
DORAL FL
33172-2721
US

IV. Provider business mailing address

1455 NW 107TH AVE
DORAL FL
33172-2711
US

V. Phone/Fax

Practice location:
  • Phone: 305-477-0534
  • Fax:
Mailing address:
  • Phone: 305-477-0534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number7026
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: