Provider Demographics
NPI:1912230517
Name:MORAR, DINA ISKANDER (OD)
Entity type:Individual
Prefix:DR
First Name:DINA
Middle Name:ISKANDER
Last Name:MORAR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:DINA
Other - Middle Name:
Other - Last Name:ISKANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:10790 MIDWAY DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-2380
Mailing Address - Country:US
Mailing Address - Phone:954-895-9748
Mailing Address - Fax:
Practice Address - Street 1:200 W 57TH ST FL 15
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3271
Practice Address - Country:US
Practice Address - Phone:212-265-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4448152W00000X
NYTUV007504152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist