NPI 1356437883 · live from the CMS NPI Registry
Mumtaz F Bashir, O.D.
Optometrist in Suwanee, GA. National Provider Identifier 1356437883, active.
NPI record
| NPI | 1356437883 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 2014 Lawrenceville Suwanee Rd, Suwanee, GA 30024 |
| Practice phone | 678-649-2020 |
| Mailing address | 2964 Silvermere Lane, Duluth, GA 30097 |
| Enumerated | October 4, 2006 |
| Last updated | October 12, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 1909 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.