Provider Demographics
NPI:1083698732
Name:FEIZ, VAHID (MD)
Entity Type:Individual
Prefix:DR
First Name:VAHID
Middle Name:
Last Name:FEIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N WIGET LN STE 270
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-5901
Mailing Address - Country:US
Mailing Address - Phone:925-705-7299
Mailing Address - Fax:800-521-7886
Practice Address - Street 1:100 N WIGET LN
Practice Address - Street 2:SUITE 270
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-5988
Practice Address - Country:US
Practice Address - Phone:925-705-7299
Practice Address - Fax:800-521-7886
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-05
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA68094207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR002104IMedicaid
CAG91764Medicare UPIN
CAZZZP3420ZMedicare ID - Type Unspecified