=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639432842
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SAR INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/21/2012
-----------------------------------------------------
Last Update Date | 06/21/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1330 WISCONSIN AVE NW 1330 WISCONSIN AVE NW
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | DC
-----------------------------------------------------
Zip | 20007-3310
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-337-8969
-----------------------------------------------------
Fax | 202-625-2825
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1330 WISCONSIN AVE NW 1330 WISCONSIN AVE NW
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | DC
-----------------------------------------------------
Zip | 20007-3310
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-337-8969
-----------------------------------------------------
Fax | 202-625-2825
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. ASAD RAMEDANI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 202-494-5900
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 156FX1201X
-----------------------------------------------------
Taxonomy Name | Optometric Assistant Technician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | DC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 332H00000X
-----------------------------------------------------
Taxonomy Name | Eyewear Supplier
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | DC
-----------------------------------------------------