MEDICARE: SAMIA TAHIR 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	OPC5158	FL

General Provider Information

NPI Number	:	1508212028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMIA TAHIR OD

Provider Business Mailing Address
First Line	:	1025 NE 126TH ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-4270
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1025 NE 126TH ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-4270
Country	:	US
Telephone Number	:	786-683-3559
Fax Number	:

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

Provider Enumeration Date	:	05/13/2016
Last Update Date	:	05/13/2016

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Directions to “ SAMIA TAHIR OD” Practice Location

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