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Contact Information

MAHNOUSH RAFAT, OD
5959 GREENBACK LN STE 120&130
CITRUS HEIGHTS, CA95621-4700
 Phone: 916-726-1818
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Sports Vision

152WS0006X 41 Optometry
 

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for MAHNOUSH RAFAT · (Female)

NPI Number 1972244218
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 04/01/2022
Last updated 04/01/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 35115
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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