Provider Demographics
NPI:1982653820
Name:ARYANI HENRY, FIROOZEH FRAN (OD)
Entity Type:Individual
Prefix:DR
First Name:FIROOZEH
Middle Name:FRAN
Last Name:ARYANI HENRY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:FIROOZEH
Other - Middle Name:FRAN
Other - Last Name:ARYANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:5012 CARLISLE PIKE
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050
Mailing Address - Country:US
Mailing Address - Phone:717-763-2020
Mailing Address - Fax:717-901-6565
Practice Address - Street 1:5012 CARLISLE PIKE
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050
Practice Address - Country:US
Practice Address - Phone:717-763-2020
Practice Address - Fax:717-901-6565
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0E007124T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012128320001Medicaid
U18731OtherHEALTH AMERICA
677779OtherBLUE SHIELD
1012128320001OtherMEDICAL ASSISTANT
50003074OtherBLUE CROSS
50003074OtherBLUE CROSS
1012128320001OtherMEDICAL ASSISTANT