Provider Demographics
NPI:1972088060
Name:LONE STAR EYE SPECIALISTS
Entity Type:Organization
Organization Name:LONE STAR EYE SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHDI
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSTAMIZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-890-7885
Mailing Address - Street 1:11500 STATE HWY 121
Mailing Address - Street 2:UNIT #720
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035
Mailing Address - Country:US
Mailing Address - Phone:732-890-7885
Mailing Address - Fax:
Practice Address - Street 1:11500 STATE HWY 121
Practice Address - Street 2:UNIT #720
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035
Practice Address - Country:US
Practice Address - Phone:972-362-5577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-25
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty