Organization
HZRA OPTOMETRY, LLC
Active
Other names
Eyedra Vision
Organization subpart
No
Provider details
NPI number
Authorized official
FAISAL RASOOLI O.D. (MEMBER)
(224) 999-3129
Entity
Organization
Contact information
Practice address
5711 YMCA PARK DR E, FORT WAYNE, IN 46835-3279
(224) 999-3129
Mailing address
5711 YMCA PARK DR E, FORT WAYNE, IN 46835-3279
(260) 200-4464
(260) 374-0090
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
09/23/2025
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