Provider Demographics
NPI:1902212194
Name:MASOUD NAFEY OD INC
Entity Type:Organization
Organization Name:MASOUD NAFEY OD INC
Other - Org Name:VISION UNION FAMILY OPTOMETRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MASOUD
Authorized Official - Middle Name:
Authorized Official - Last Name:NAFEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:925-922-9705
Mailing Address - Street 1:1930 9TH ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95811-7043
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1930 9TH ST
Practice Address - Street 2:SUITE 206
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95811-7043
Practice Address - Country:US
Practice Address - Phone:925-922-9705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14613TLG305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization