Provider Demographics
NPI:1972799070
Name:DR. SHAHRZAD SHAHRIARY
Entity Type:Organization
Organization Name:DR. SHAHRZAD SHAHRIARY
Other - Org Name:INFINITY VISION OPTOMETRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAHRZAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAHRIARY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:559-688-5020
Mailing Address - Street 1:1259 E PROSPERITY AVE
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-8060
Mailing Address - Country:US
Mailing Address - Phone:559-688-5020
Mailing Address - Fax:559-688-5021
Practice Address - Street 1:1259 E PROSPERITY AVE
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-8060
Practice Address - Country:US
Practice Address - Phone:559-688-5020
Practice Address - Fax:559-688-5021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty