Healthcare Provider Details

I. General information

NPI: 1154286516
Provider Name (Legal Business Name): NOORVISION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9569 S DIXIE HWY
PINECREST FL
33156-2802
US

IV. Provider business mailing address

5830 CASTLEGATE AVE
DAVIE FL
33331-3234
US

V. Phone/Fax

Practice location:
  • Phone: 954-830-4431
  • Fax:
Mailing address:
  • Phone: 954-830-4431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMED SALEH
Title or Position: DR
Credential: OD
Phone: 954-830-4431