Provider Demographics
NPI:1447636600
Name:HABIBI, ZAHEER (OPTICIAN)
Entity type:Individual
Prefix:
First Name:ZAHEER
Middle Name:
Last Name:HABIBI
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2536 MALL CIR
Mailing Address - Street 2:SUITE D
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-1545
Mailing Address - Country:US
Mailing Address - Phone:817-731-7434
Mailing Address - Fax:817-738-2043
Practice Address - Street 1:2536 MALL CIR
Practice Address - Street 2:SUITE D
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-1545
Practice Address - Country:US
Practice Address - Phone:817-731-7434
Practice Address - Fax:817-738-2043
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-10
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician