Provider Demographics
NPI:1134435514
Name:SAYANI, AMAR (OD)
Entity type:Individual
Prefix:DR
First Name:AMAR
Middle Name:
Last Name:SAYANI
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 1:11089 NASHVILLE DR
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33026-4965
Mailing Address - Country:US
Mailing Address - Phone:954-280-7551
Mailing Address - Fax:954-262-2269
Practice Address - Street 1:3200 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-2018
Practice Address - Country:US
Practice Address - Phone:954-262-4200
Practice Address - Fax:954-262-2269
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV-007600-1152W00000X
FLOFC 76152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL019221400Medicaid
NY01945308Medicaid
NY1134435514OtherBCBS
NY1134435514OtherMVP
FL019221400Medicaid
NY34395AMedicare PIN