Bassiri, Kiarash
Bassiri, Kiarash is an sole proprietor health care provider with primary practice located at 6400 Creedmoor Rd #103, Raleigh NC 27613-4481. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Bassiri, Kiarash can be contacted via phone (919) 977-7480.Contact Information
Primary practice address
6400 Creedmoor Rd #103
Raleigh NC 27613-4481
Phone: (919) 977-7480
Fax: (919) 977-7481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2055 | North Carolina |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2055 | North Carolina |
Profile Details
| NPI number | 1598952681 |
|---|---|
| LBN Legal business name | Bassiri, Kiarash |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2007 |
| Last updated | Jun 11th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598952681 | NPPES |
| North Carolina | Other | 261237875 | TRICARE |
| North Carolina | Other | 48238 | TRICARE |
| North Carolina | Other | 3904051 | TRICARE |
| North Carolina | Other | 827989 | TRICARE |
| North Carolina | Other | 093XP | TRICARE |
| North Carolina | Other | 36893 | TRICARE |
| North Carolina | MEDICAID | 5912605 | TRICARE |
| North Carolina | Other | 00011136 | TRICARE |
| North Carolina | Other | 29892 | TRICARE |
| North Carolina | Other | 9160113 | TRICARE |
| North Carolina | Other | 935814 | TRICARE |
| North Carolina | Other | 261237875 | TRICARE |
| North Carolina | Other | 58392 | TRICARE |
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