Abdul R, Nizam is a Eyewear Supplier in Moberly, Missouri. Abdul R, Nizam practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Abdul R, Nizam is 1568465359. The last update date is 2014-02-07.
Abdul R, Nizam's current location address is 630 N Morley St, Moberly, Missouri. You can contact this provider via phone number 6602630404 and fax number 6602631725. The mailing address for Abdul R, Nizam is 630 N Morley St, Moberly, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Abdul R, Nizam |
|---|---|
| Address | 630 N Morley St, Moberly, Missouri |
| Phone Number | 6602630404 |
| Fax Number | 6602631725 |
| Sole Proprietor | Y |
| Credentials | M.D |
NPI Number Detail
| NPI Number | 1568465359 |
|---|---|
| Provider Enumeration Date | 2005-05-24 |
| Last Updated Date | 2014-02-07 |
Provider Mailing Address Detail
| Address | 630 N Morley St |
|---|---|
| City | Moberly |
| State | Missouri (MO) |
| Post Code | 6527025560 |
| Phone Number | 6602630404 |
| Fax Number | 6602631725 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | 113224 |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 325927507 | MO | -- | |
| 238605 | MO | ADVANTRA | |
| 209988542 | MO | -- |
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What is the unique identifier code issued to Abdul R, Nizam by the Centers for Medicare & Medicaid Services (CMS)?
The Abdul R, Nizam has been assigned the NPI (National Provider Identifier) 1568465359. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Abdul R, Nizam?
The Abdul R, Nizam is situated at 630 N Morley St, in the city of Moberly, state of MO, with the zip code 6527025560.
What is the area of specialization for Abdul R, Nizam, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Abdul R, Nizam is Eyewear Supplier, and the corresponding taxonomy code that categorizes this area of expertise is 332H00000X.
When was the Abdul R, Nizam's 1568465359 issued?
The Abdul R, Nizam's 1568465359 was issued on 2005-05-24.
When was the information pertaining to Abdul R, Nizam most recently updated or revised?
The details related to Abdul R, Nizam, including its address, specialty, and other relevant information, were last updated or revised on 2014-02-07.
NPI Number: 1699778829
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