Individual
ZEEST PERVAIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3600 MARKET ST, PHILADELPHIA, PA 19104-2641
(215) 387-3600
Mailing address
3600 MARKET ST, PHILADELPHIA, PA 19104-2641
(215) 387-3600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001305
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2368327000
IBC
PA
Enumeration date
06/17/2005
Last updated
05/12/2009
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