Healthcare Provider Details

I. General information

NPI: 1497672224
Provider Name (Legal Business Name): SAFAH AHMED OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12725 TAMIAMI TRL E UNIT 133
NAPLES FL
34113-9048
US

IV. Provider business mailing address

1180 OAKWATER DR
ROYAL PALM BEACH FL
33411-6106
US

V. Phone/Fax

Practice location:
  • Phone: 800-999-4758
  • Fax: 770-822-6206
Mailing address:
  • Phone: 800-999-4758
  • Fax: 770-822-6206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number6980
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: