Provider Demographics
NPI:1235299033
Name:PAZIRANDEH, ARYAN (OD)
Entity Type:Individual
Prefix:DR
First Name:ARYAN
Middle Name:
Last Name:PAZIRANDEH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6767 N FRESNO ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-3709
Mailing Address - Country:US
Mailing Address - Phone:559-432-1000
Mailing Address - Fax:559-432-1034
Practice Address - Street 1:6767 N FRESNO ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-3709
Practice Address - Country:US
Practice Address - Phone:559-432-1000
Practice Address - Fax:559-432-1034
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASD1243200152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0124321OtherPPIN
CASD1243200Medicaid
CASD1243200Medicaid
CASD0124321OtherPPIN