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NPI Code Detail

MEDICARE: DR. FAISAL AHMED DOCTOR OF OPTOMETRY

MEDICARE:  DR. FAISAL  AHMED  DOCTOR OF OPTOMETRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOPT.007171OH
2152W00000XOptometrist3210OK

General Provider Information

NPI Number : 1417640194
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FAISAL AHMED DOCTOR OF OPTOMETRY
Provider Business Mailing Address
First Line : 5380 RED WYNNE LN
Second Line :
City : HILLIARD
State : OH
Zip : 43026-8954
Country : US
Telephone Number : 614-397-3356
Fax Number :
Provider Business Practice Location Address
First Line : 1455 S DOUGLAS BLVD
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73130-5268
Country : US
Telephone Number : 405-733-4545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2023
Last Update Date : 08/08/2023

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Directions to “ DR. FAISAL AHMED DOCTOR OF OPTOMETRY” Practice Location

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