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General NPI Number Information
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NPI Number | 1174476618
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Entity Type | Organization
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Legal Business Name | ESFANDIARI O.D., PROFESSIONAL OPTOMETRIC CORPORATION
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 220 AMERICANA WAY
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City | GLENDALE
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State | CA
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Zip | 91210-1500
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Country | US
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Telephone | 727-793-4368
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Fax | 513-492-4700
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Provider Business Mailing Address
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Address Line | 220 AMERICANA WAY
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City | GLENDALE
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State | CA
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Zip | 91210-1500
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Country | US
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Telephone | 727-793-4368
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Fax | 513-492-4700
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | RAMBOD ESFANDIARI
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Credential | OD
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Telephone | 858-349-2816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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