=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699211565
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VAHID FEIZ, MD, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/16/2017
-----------------------------------------------------
Last Update Date | 10/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 N WIGET LN SUITE 270
-----------------------------------------------------
City | WALNUT CREEK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94598-5988
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 925-705-7299
-----------------------------------------------------
Fax | 800-521-7886
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 100 N WIGET LN SUITE 270
-----------------------------------------------------
City | WALNUT CREEK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94598-5988
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 925-705-7299
-----------------------------------------------------
Fax | 800-521-7886
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNDER
-----------------------------------------------------
Name | VAHID FEIZ
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 825-705-7299
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207W00000X
-----------------------------------------------------
Taxonomy Name | Ophthalmology Physician
-----------------------------------------------------
License Number | A68094
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------