Individual
DR. KIARASH BASSIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6400 CREEDMOOR RD, #103, RALEIGH, NC 27613-4481
(919) 977-7480
(919) 977-7481
Mailing address
6400 CREEDMOOR RD, #103, RALEIGH, NC 27613-4481
(919) 977-7480
(919) 977-7481
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2055
NC
152WC0802X
Corneal and Contact Management Optometrist
2055
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011136
ADVANTICA
NC
01
—
093XP
BCBS
NC
01
—
261237875
TRICARE
NC
01
—
29892
MES VISION
NC
01
—
36893
AVESIS
NC
01
—
3904051
CIGNA
NC
01
—
48238
OPTUM HEALTH
NC
01
—
58392
DAVIS VISION
NC
05
—
5912605
—
NC
01
—
827989
WELLPATH
NC
01
—
9160113
AETNA
NC
01
—
935814
BLOCK VISION
NC
Enumeration date
10/02/2007
Last updated
06/11/2019
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