# AHAD MAHOOTCHI, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Eye Clinic of Florida
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427005099
- **Authorized official:** AHAD MAHOOTCHI MD (PRESIDENT)
- **Authorized official phone:** (813) 779-3338

## Contact information

- **Practice address:** 6739 GALL BLVD, ZEPHYRHILLS, FL 33542-2522
- **Practice address phone:** (813) 779-3338
- **Practice address fax:** (813) 779-3318
- **Mailing address:** PO BOX 1059, ZEPHYRHILLS, FL 33539-1059
- **Mailing address phone:** (813) 779-3338
- **Mailing address fax:** (813) 779-3318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | FL | — |
| 207W00000X | Ophthalmology Physician | — | FL | Yes |
| 332H00000X | Eyewear Supplier | — | FL | — |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 01/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 97315 | BCBS FLORIDA GROUP NUMBER | FL |
| 01 | — | DE5595 | RAILROAD MEDICARE | FL |