Individual
DR. NIMA MAZHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2325 ABERDEEN BLVD STE A, GASTONIA, NC 28054-0642
(704) 853-3937
Mailing address
1091 CURRITUCK WAY, YORK, SC 29745-2887
(803) 628-8762
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1448
SC
152W00000X
Optometrist
Primary
2032
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710092309
INDIVIDUAL NPI
—
Enumeration date
08/21/2006
Last updated
05/15/2021
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