Provider Demographics
NPI:1538739511
Name:RIZVI, ZUNAIR
Entity type:Individual
Prefix:
First Name:ZUNAIR
Middle Name:
Last Name:RIZVI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 FORT PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-1145
Mailing Address - Country:US
Mailing Address - Phone:732-577-0675
Mailing Address - Fax:
Practice Address - Street 1:515 ROUTE 70 STE 300
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-4043
Practice Address - Country:US
Practice Address - Phone:732-965-0069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00706400152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist