Provider Demographics
NPI:1508550062
Name:KARAMI, NIMA (OD)
Entity Type:Individual
Prefix:
First Name:NIMA
Middle Name:
Last Name:KARAMI
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 1:20434 N 32ND LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-6076
Mailing Address - Country:US
Mailing Address - Phone:602-380-4906
Mailing Address - Fax:
Practice Address - Street 1:13222 TREE SPARROW DR STE R140
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:UT
Practice Address - Zip Code:84096-2883
Practice Address - Country:US
Practice Address - Phone:385-324-5654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13438818-9934152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist