Provider Demographics
NPI:1558847020
Name:SAJJADI, AUZITA (OD)
Entity type:Individual
Prefix:DR
First Name:AUZITA
Middle Name:
Last Name:SAJJADI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 CORNISH PL
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-5452
Mailing Address - Country:US
Mailing Address - Phone:337-296-3869
Mailing Address - Fax:
Practice Address - Street 1:27700 NORTHWEST FWY STE 390
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-8029
Practice Address - Country:US
Practice Address - Phone:346-818-6780
Practice Address - Fax:346-573-8162
Is Sole Proprietor?:No
Enumeration Date:2018-07-17
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1865-800AT152W00000X
TX9635TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist