Individual
MAHDI HEDAYAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
403 VONDERBURG DR, BRANDON, FL 33511-5982
(813) 681-1122
(813) 684-4924
Mailing address
403 VONDERBURG DR, BRANDON, FL 33511-5982
(813) 681-1122
(813) 684-4924
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OD60878885
WA
152W00000X
Optometrist
Primary
OPC5769
FL
152W00000X
Optometrist
OPT-002333
AZ
Other
Enumeration date
04/16/2019
Last updated
11/04/2022
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