MEDICARE: YALDA FEIZ OD

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
1	152W00000X	Optometrist	046012024	IL

General Provider Information

NPI Number	:	1477435782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YALDA FEIZ OD

Provider Business Mailing Address
First Line	:	2987 KIRK RD STE 105
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60502-6027
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2987 KIRK RD STE 105
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60502-6027
Country	:	US
Telephone Number	:	630-428-3937
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2025
Last Update Date	:	02/12/2026

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Directions to “ YALDA FEIZ OD” Practice Location

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