=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861355463
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SARWAR OPTOMETRIC CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/09/2025
-----------------------------------------------------
Last Update Date | 12/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15734 MOLLY AVE
-----------------------------------------------------
City | CHINO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91708-8870
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-569-3259
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 15734 MOLLY AVE
-----------------------------------------------------
City | CHINO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91708-8870
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-569-3259
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OD
-----------------------------------------------------
Name | NIKITA SARWAR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 909-569-3259
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------