Provider Demographics
NPI:1225847130
Name:ART OF VISION OPTOMETRY PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:ART OF VISION OPTOMETRY PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:SHIREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGHSHENAS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:408-712-1076
Mailing Address - Street 1:15500 QUITO RD
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-6230
Mailing Address - Country:US
Mailing Address - Phone:408-712-1076
Mailing Address - Fax:
Practice Address - Street 1:460 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-1812
Practice Address - Country:US
Practice Address - Phone:408-712-1076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center