Provider Demographics
NPI:1104510288
Name:KAUSER SHARIEFF OD INC.
Entity type:Organization
Organization Name:KAUSER SHARIEFF OD INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:KAUSER
Authorized Official - Middle Name:V
Authorized Official - Last Name:SHARIEFF
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:714-996-6210
Mailing Address - Street 1:17674 YORBA LINDA BLVD
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-3927
Mailing Address - Country:US
Mailing Address - Phone:714-996-6210
Mailing Address - Fax:714-996-6212
Practice Address - Street 1:17674 YORBA LINDA BLVD
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-3927
Practice Address - Country:US
Practice Address - Phone:714-996-6210
Practice Address - Fax:714-996-6212
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KAUSER SHARIEFF OD INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-02
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty