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Fartash Od Inc

Optometrist in Corona, CA · enumerated 2020 · authorized official Shannon Davis, Credentialing Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588273833

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Registry record

Entity type Organization (Type 2)
Legal business name Fartash Od Inc
Practice address 734 N Main St, Corona, CA, 92880
Fax (735) 737-2072
Enumeration date Jul 23, 2020
Last updated in NPPES Jul 23, 2020

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Primary

Authorized official

Name Shannon Davis
Title Credentialing Specialist

Other identifiers

Identifier Type State Issuer
1417263500 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-07-23. Verify at npiregistry.cms.hhs.gov.
Where is Fartash Od Inc located?
The practice location on file with NPPES is in Corona, CA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-07-23.