Provider Demographics
NPI:1386444867
Name:BEHSHAD EYE AND CONTACT LENS CENTER PLLC
Entity type:Organization
Organization Name:BEHSHAD EYE AND CONTACT LENS CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:HOUMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEHSHAD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:480-330-9104
Mailing Address - Street 1:328 N BAY DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-4631
Mailing Address - Country:US
Mailing Address - Phone:480-330-9104
Mailing Address - Fax:
Practice Address - Street 1:5000 S ARIZONA MILLS CIR STE 165
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-6417
Practice Address - Country:US
Practice Address - Phone:480-820-3813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty