Individual
DR. FARSHAD HAIIMPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T006102
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01975960
—
NY
01
—
76754121
AETNA
—
01
—
P2141131
OXFORD
NY
Enumeration date
01/17/2007
Last updated
06/15/2010
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