Provider Demographics
NPI:1871054692
Name:ZOYA OPTICAL LLC
Entity type:Organization
Organization Name:ZOYA OPTICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MASTOUREH
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMADPOUR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:404-931-3304
Mailing Address - Street 1:1154 N POINT CIR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-4855
Mailing Address - Country:US
Mailing Address - Phone:770-667-8060
Mailing Address - Fax:770-667-2024
Practice Address - Street 1:1154 N POINT CIR
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-4855
Practice Address - Country:US
Practice Address - Phone:770-667-8060
Practice Address - Fax:770-667-2024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-26
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WX0102XEye and Vision Services ProvidersOptometristOccupational VisionGroup - Single Specialty